Active NPI
Cidny-Independent Living Services
- Home Health Agency
- Brooklyn, NY
National Provider Identifier
1760568802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0637L002
- Legal business name
- CIDNY-INDEPENDENT LIVING SERVICES
- Practice address
- 150 Ocean Pkwy
Room 101
Brooklyn, NY 11218-2481 - Phone
- (212) 254-5000
- Fax
- (212) 460-9194
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kenneth L Block
- Title
- Managing Director
- Phone
- (212) 254-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0637L002 | NY | Primary |
Addresses
Primary practice location
150 Ocean Pkwy
Room 101
Brooklyn, NY 11218-2481
Mailing address
PO Box 180032
Brooklyn, NY 11218-0032
Phone (212) 254-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00925306 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1760568802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180032",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112180032",
"telephone_number": "212-254-5000",
"fax_number": "212-460-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 OCEAN PKWY",
"address_2": "ROOM 101",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182481",
"telephone_number": "212-254-5000",
"fax_number": "212-460-9194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIDNY-INDEPENDENT LIVING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "BLOCK",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "212-254-5000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "0637L002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00925306",
"state": "NY"
}
],
"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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.