NPIMap

Organization Active NPI

United Cerebral Palsy Assoc of Nassau Cty

  • Nursing Facility/Intermediate Care Facility
  • Roosevelt, NY
National Provider Identifier
1770620114
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
6091440 Issued in NY
Legal business name
UNITED CEREBRAL PALSY ASSOC OF NASSAU CTY
Practice address
387 Washington Ave
Roosevelt, NY 11575-1849
Phone
(516) 377-2067
Fax
(516) 377-2119
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven H Friedman
Title
Director HCFS
Phone
(516) 377-2067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 6091440 NY Primary

Addresses

Primary practice location

387 Washington Ave
Roosevelt, NY 11575-1849

Mailing address

380 Washington Avenue
Roosevelt, NY 11575-1899
Phone (516) 377-2067

Other identifiers 1

IdentifierTypeStateIssuer
00565077MedicaidNY

Other names 1

  • UCP Nassau Other name

National Provider Directory

National Provider Directory
Tax ID family
Ucp Nassau4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770620114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 WASHINGTON AVENUE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751899",
            "telephone_number": "516-377-2067",
            "fax_number": "516-377-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 WASHINGTON AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751849",
            "telephone_number": "516-377-2067",
            "fax_number": "516-377-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOC OF NASSAU CTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR HCFS",
        "authorized_official_telephone_number": "516-377-2067",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "6091440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00565077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP Nassau",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roosevelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.