NPIMap

Organization Active NPI

Daytop Village Inc.

  • Substance Abuse Rehabilitation Facility
  • New York, NY
National Provider Identifier
1790884500
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
070211238 Issued in NY
Legal business name
DAYTOP VILLAGE INC.
Practice address
104 West 40TH Street
4TH Floor
New York, NY 10018
Phone
(212) 354-6000
Fax
(212) 302-4051
NPI assigned
Sep 21, 2006
Last updated
Jun 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Mr. Paul Burns
Title
Director of Finance
Phone
(212) 354-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 070211238 NY Primary

Addresses

Primary practice location

104 West 40TH Street
4TH Floor
New York, NY 10018

Mailing address

104 West 40TH Street
4TH Floor
New York, NY 10018
Phone (212) 354-6000

Other identifiers 3

IdentifierTypeStateIssuer
00659687MedicaidNY
070211238OtherNYNYS OASAS LLICENSE
7002121ROtherNYNYSDOH ART.28 LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Daytop Village Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

104 W 40th St
Fl 4
New York, NY 10018
Phone (212) 354-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1790884500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WEST 40TH STREET",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-354-6000",
            "fax_number": "212-302-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST 40TH STREET",
            "address_2": "4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-354-6000",
            "fax_number": "212-302-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTOP VILLAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "212-354-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NY",
            "license": "070211238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00659687",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OASAS LLICENSE",
            "identifier": "070211238",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSDOH ART.28 LICENSE",
            "identifier": "7002121R",
            "state": "NY"
        }
    ],
    "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 4, 2012; 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.