Organization Active NPI

Good Shepherd Services

  • Voluntary or Charitable Agency
  • New York, NY
National Provider Identifier
1699890673
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GOOD SHEPHERD SERVICES
Practice address
305 7TH Ave
New York, NY 10001-6008
Phone
(212) 243-7070
Fax
(212) 620-5612
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Miss Greghan Fischer
Title
Chief Administrative Officer & Cfo
Phone
(212) 243-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

305 7TH Ave
New York, NY 10001-6008

Mailing address

305 7TH Ave
New York, NY 10001-6008
Phone (212) 243-7070

Other identifiers 1

IdentifierTypeStateIssuer
00327817MedicaidNY

National Provider Directory

National Provider Directory

Locations

305 7th Ave
New York, NY 10001
Phone (212) 243-7070

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1699890673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016008",
            "telephone_number": "212-243-7070",
            "fax_number": "212-620-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016008",
            "telephone_number": "212-243-7070",
            "fax_number": "212-620-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "GREGHAN",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER & CFO",
        "authorized_official_telephone_number": "212-243-7070",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00327817",
            "state": "NY"
        }
    ],
    "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 Jul 5, 2016; 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.