Active NPI
Betances Health Center
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 7002208R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Delaney
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Nurse
- New York, NY
- NPI 1831269273
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.
-
- Pediatrics Physician
- Poughkeepsie, NY
- NPI 1811057193
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.