NPIMap

Organization Active NPI

Hamaspik of Kings County, Inc.

  • Developmental Disabilities Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1730859976
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
HAMASPIK OF KINGS COUNTY, INC.
Practice address
295 Division Ave
Brooklyn, NY 11211-7549
Phone
(718) 387-8400
NPI assigned
Sep 19, 2021
Last updated
Sep 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Authorized official

Name
Tzvi Wertheimer
Title
Executive Director
Phone
(718) 387-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

295 Division Ave
Brooklyn, NY 11211-7549

Mailing address

4102 14TH Ave
Brooklyn, NY 11219-1401
Phone (718) 387-8400

Other practice location 1

4102 14th Ave
Brooklyn, NY 11219-1401
Phone (718) 387-8400 ext. 106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210811001335 NY Part B Supplier - Clinic/Group Practice 8628472768 Receives reassigned benefits from 30 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brooklyn, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Hamaspik of Kings County8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

4102 14th Ave
Brooklyn, NY 11219
Phone (718) 266-9742

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632009600000",
    "number": "1730859976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191401",
            "telephone_number": "718-387-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 DIVISION AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117549",
            "telephone_number": "718-387-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4102 14th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112191401",
            "country_code": "US",
            "telephone_number": "718-387-8400 x106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMASPIK OF KINGS COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A",
        "authorized_official_last_name": "WERTHEIMER",
        "authorized_official_first_name": "TZVI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-387-8400"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.