NPIMap

Organization Active NPI

Jewish Board of Family and Children's Services, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • New York, NY
National Provider Identifier
1760667398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC
Practice address
463 7TH Ave FL 18
New York, NY 10018-7604
Phone
(212) 582-9100
NPI assigned
Jan 2, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Laura A Gray
Title
Assistant Controller
Phone
(914) 773-7458

Specialties & licenses 1

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

Addresses

Primary practice location

463 7TH Ave FL 18
New York, NY 10018-7604

Mailing address

463 7TH Ave FL 18
New York, NY 10018-7604
Phone (212) 582-9100

Other identifiers 1

IdentifierTypeStateIssuer
01187264MedicaidNY

Other names 1

  • Kingsbrook 1955 Other name

National Provider Directory

National Provider Directory
Tax ID family
Crown Heights Clinic60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760667398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 7TH AVE FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187604",
            "telephone_number": "212-582-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 7TH AVE FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187604",
            "telephone_number": "212-582-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ASSISTANT CONTROLLER",
        "authorized_official_telephone_number": "914-773-7458",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01187264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsbrook 1955",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kingsbrook 1955",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.