Organization Active NPI

Betances Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1699137257
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7002208R Issued in NY
Legal business name
BETANCES HEALTH CENTER
Practice address
1427 Broadway
Brooklyn, NY 11221-4202
Phone
(212) 227-8401
NPI assigned
Mar 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Dr. Santos Anthony Rivera, D.S.W.
Title
Ceo
Phone
(212) 227-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7002208R NY Primary

Addresses

Primary practice location

1427 Broadway
Brooklyn, NY 11221-4202

Mailing address

1427 Broadway
Brooklyn, NY 11221-4202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 571118

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
BETANCES HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 26, 2018
Last certification
Jun 26, 2018
Ownership / control type
For profit – corporation
Facility address
1427 Broadway
Brooklyn, NY 11221

National Provider Directory

National Provider Directory
Tax ID family
Brian Delaney2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1427 Broadway
Brooklyn, NY 11221
Phone (212) 227-8401

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": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1699137257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214202",
            "telephone_number": "212-227-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETANCES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "SANTOS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-227-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.S.W."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7002208R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.