NPIMap

Organization Active NPI

Caritas Health Care Inc

Doing business as Mary Immaculate Hospital

  • Psychiatric Hospital Unit
  • Jamaica, NY
National Provider Identifier
1811155658
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
7003027H Issued in NY
Legal business name
CARITAS HEALTH CARE INC
Doing business as
Mary Immaculate Hospital
Practice address
152-11 89TH Avenue
Jamaica, NY 11432-3730
Phone
(718) 558-2000
Fax
(718) 558-2425
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Richard J Sarli
Title
Chief Financial Officer
Phone
(718) 830-2712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 7003027H NY Primary

Addresses

Primary practice location

152-11 89TH Avenue
Jamaica, NY 11432-3730

Mailing address

95-25 Queens Boulevard
3Rd Floor
Rego Park, NY 11374-4511
Phone (718) 830-2711

Other identifiers 1

IdentifierTypeStateIssuer
00243861MedicaidNY

Other names 1

  • Mary Immaculate Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Caritas Health Care Inc4 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.

Locations

14720 Archer Ave
Jamaica, NY 11435
Phone (718) 291-1888

8930 161st St
Jamaica, NY 11432
Phone (718) 526-7533

14718 Archer Ave
Jamaica, NY 11435
Phone (718) 291-1888

11239 Sutphin Blvd 41
Jamaica, NY 11435
Phone (718) 322-6110

1065 Avenue of the Americas
Fl 11
New York, NY 10018
Phone (212) 790-5944

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1811155658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-25 QUEENS BOULEVARD",
            "address_2": "3RD FLOOR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744511",
            "telephone_number": "718-830-2711",
            "fax_number": "718-830-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152-11 89TH AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323730",
            "telephone_number": "718-558-2000",
            "fax_number": "718-558-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "SARLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-830-2712"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "7003027H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Immaculate Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.