NPIMap

Organization Active NPI

Paul J. Cooper Center for Human Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1831643816
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
161010577 Issued in NY
Legal business name
PAUL J. COOPER CENTER FOR HUMAN SERVICES, INC.
Practice address
510 Gates Ave
Brooklyn, NY 11216-1506
Phone
(718) 498-5555
Fax
(718) 498-6868
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Peter Campbell
Title
Billing Coordinator
Phone
(718) 498-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 161010577 NY Primary

Addresses

Primary practice location

510 Gates Ave
Brooklyn, NY 11216-1506

Mailing address

510 Gates Ave
Brooklyn, NY 11216-1506
Phone (718) 498-5555

Other identifiers 1

IdentifierTypeStateIssuer
00244931MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Paul J Cooper Center for Human Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1831643816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161506",
            "telephone_number": "718-498-5555",
            "fax_number": "718-498-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161506",
            "telephone_number": "718-498-5555",
            "fax_number": "718-498-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. COOPER CENTER FOR HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "718-498-5555"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "161010577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244931",
            "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 Aug 8, 2016; 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.