Organization Active NPI

Vida Family Services, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
National Provider Identifier
1689737587
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
170811100 Issued in NY
Legal business name
VIDA FAMILY SERVICES, INC.
Practice address
127 E 105TH St
New York, NY 10029-4917
Phone
(212) 289-1004
Fax
(212) 987-2787
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jose L Lora
Title
Comptroller
Phone
(212) 289-1004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 170811100 NY Primary

Addresses

Primary practice location

127 E 105TH St
New York, NY 10029-4917

Mailing address

127 E 105TH St
New York, NY 10029-4917
Phone (212) 289-1004

National Provider Directory

National Provider Directory

Locations

127 E 105th St
New York, NY 10029
Phone (212) 289-1004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1689737587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 105TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294917",
            "telephone_number": "212-289-1004",
            "fax_number": "212-987-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 105TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294917",
            "telephone_number": "212-289-1004",
            "fax_number": "212-987-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "212-289-1004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "170811100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.