Organization Active NPI

Caring Provider Group of Ny

  • Neurology Physician
  • New York, NY
National Provider Identifier
1750065207
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CARING PROVIDER GROUP OF NY
Practice address
Caring Provider Group of Ny
228 Pack Ave S #47606
New York, NY 10003
Phone
(708) 630-1534
Fax
(888) 517-8619
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Alexandra Young Zajac
Title
Sr Director Rev Cycle Ops
Phone
(857) 204-7185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

Caring Provider Group of Ny
228 Pack Ave S #47606
New York, NY 10003

Mailing address

Caring Provider Group of Ny
228 Pack Ave S #47606
New York, NY 10003
Phone (708) 630-1534

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1750065207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARING PROVIDER GROUP OF NY",
            "address_2": "228 PACK AVE S #47606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "708-630-1534",
            "fax_number": "888-517-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARING PROVIDER GROUP OF NY",
            "address_2": "228 PACK AVE S #47606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "708-630-1534",
            "fax_number": "888-517-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING PROVIDER GROUP OF NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "ZAJAC",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "SR DIRECTOR REV CYCLE OPS",
        "authorized_official_telephone_number": "857-204-7185"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 Jun 14, 2023; 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.