163Rd Street Improvement Council, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

163RD STREET IMPROVEMENT COUNCIL, INC.

Practice address

490 E 167TH St
Bronx, NY 10456-4404

Phone

(917) 819-8090

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassandra Gayle Perry

Title

Executive Director

Phone

(917) 819-8090

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1700359122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564404",
            "telephone_number": "917-819-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E 167TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104564404",
            "telephone_number": "917-819-8090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104562401",
            "country_code": "US",
            "telephone_number": "718-328-7014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "156 W 164th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104525248",
            "country_code": "US",
            "telephone_number": "718-293-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1177 Rev James A Polite Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104592331",
            "country_code": "US",
            "telephone_number": "718-328-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "163RD STREET IMPROVEMENT COUNCIL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-819-8090"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.