NPIMap

Organization Active NPI

The Educational Alliance

  • Substance Abuse Rehabilitation Facility
  • New York, NY
National Provider Identifier
1710196134
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
080610221 Issued in NY
Legal business name
THE EDUCATIONAL ALLIANCE
Practice address
25-29 Avenue D
New York, NY 10009-6935
Phone
(212) 780-5475
Fax
(212) 780-5474
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Cassandra Melissa Marable
Title
Billing Coordinator
Phone
(646) 395-4418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 080610221 NY Primary

Addresses

Primary practice location

25-29 Avenue D
New York, NY 10009-6935

Mailing address

197 E Broadway
New York, NY 10002-5507
Phone (646) 395-4280

Other identifiers 1

IdentifierTypeStateIssuer
080610221OtherNYOASAS LICENSE

National Provider Directory

National Provider Directory
Tax ID family
The Educational Alliance4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1710196134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 E BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025507",
            "telephone_number": "646-395-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25-29 AVENUE D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096935",
            "telephone_number": "212-780-5475",
            "fax_number": "212-780-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EDUCATIONAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "MARABLE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "646-395-4418"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "080610221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OASAS LICENSE",
            "identifier": "080610221",
            "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 Oct 17, 2018; 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.