NPIMap

Organization Active NPI

Block Institute, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Brooklyn, NY
National Provider Identifier
1730255068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7455441 Issued in NY
Legal business name
BLOCK INSTITUTE, INC.
Practice address
1893 Ocean Ave
Brooklyn, NY 11230-6801
Phone
(718) 258-6504
Fax
(718) 252-3640
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey M Dold, CPA
Title
Controller
Phone
(718) 906-5440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7455441 NY Primary

Addresses

Primary practice location

1893 Ocean Ave
Brooklyn, NY 11230-6801

Mailing address

376 Bay 44TH St
Brooklyn, NY 11214-7103
Phone (718) 906-5400

Other identifiers 1

IdentifierTypeStateIssuer
00762872 03MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730255068. Details of each certification follow.

  • CCN 33G450 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 33G450

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
BLOCK INSTITUTE, INC.
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 29, 1983
Last certification
Mar 21, 2024
Beds
11
Ownership / control type
Private (non-profit)
Facility address
1893 Ocean Ave
Brooklyn, NY 11230

National Provider Directory

National Provider Directory
Tax ID family
Block Institute Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730255068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 BAY 44TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147103",
            "telephone_number": "718-906-5400",
            "fax_number": "718-946-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306801",
            "telephone_number": "718-258-6504",
            "fax_number": "718-252-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOCK INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-906-5440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7455441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00762872 03",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.