NPIMap

Organization Active NPI

Catholic Managed LTC Inc

  • Exclusive Provider Organization
  • New York, NY
National Provider Identifier
1740649565
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CATHOLIC MANAGED LTC INC
Practice address
205 Lexington Ave
New York, NY 10016-6022
Phone
(646) 395-5908
NPI assigned
Feb 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
James Michael Shaw
Title
Registered Nurse
Phone
(914) 355-6744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

205 Lexington Ave
New York, NY 10016-6022

Mailing address

205 Lexington Ave
New York, NY 10016-6022

National Provider Directory

National Provider Directory
Tax ID family
Archcare Senior Life6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

205 Lexington Ave
New York, NY 10016
Phone (212) 335-0034

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1740649565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166022",
            "telephone_number": "646-395-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC MANAGED LTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "914-355-6744"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 2016; 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.