NPIMap

Organization Active NPI

United Cerebral Palsy Associations of New York State Inc

Doing business as Cerebral Palsy of Nys

  • Clinic/Center
  • Staten Island, NY
National Provider Identifier
1700835394
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITED CEREBRAL PALSY ASSOCIATIONS OF NEW YORK STATE INC
Doing business as
Cerebral Palsy of Nys
Practice address
Koicheff Health Care Center DME
2324 Forest Ave
Staten Island, NY 10303-1506
Phone
(718) 447-8205
NPI assigned
May 9, 2006
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mr. Thomas Mandelkow
Title
Executive Vice President
Phone
(212) 947-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

Koicheff Health Care Center DME
2324 Forest Ave
Staten Island, NY 10303-1506

Mailing address

330 W 34TH St FL 15
New York, NY 10001-2406
Phone (212) 947-5770

Other identifiers 2

IdentifierTypeStateIssuer
003MedicaidNY
00947324MedicaidNY

Other names 1

  • CEREBRAL PALSY OF NYS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy of Nys32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1700835394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 34TH ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012406",
            "telephone_number": "212-947-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KOICHEFF HEALTH CARE CENTER DME",
            "address_2": "2324 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031506",
            "telephone_number": "718-447-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOCIATIONS OF NEW YORK STATE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "MANDELKOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "212-947-5770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00947324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEREBRAL PALSY OF NYS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.