NPIMap

Organization Active NPI

Oda Primary Health Care Network Mobile Clinic

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1831756550
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ODA PRIMARY HEALTH CARE NETWORK MOBILE CLINIC
Practice address
14 Heyward St
Brooklyn, NY 11249-7823
Phone
(718) 260-4600
NPI assigned
May 29, 2019
Organization subpart
Yes
Parent organization
ODA PRIMARY HEALTH CARE NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Rose Teitelbaum
Title
Cfo
Phone
(917) 648-6682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

14 Heyward St
Brooklyn, NY 11249-7823

Mailing address

14 Heyward St
Brooklyn, NY 11249-7823
Phone (718) 260-4600

National Provider Directory

National Provider Directory
Tax ID family
Robert B Krausz14 organizations share this tax ID, including this one
Part of
Robert B Krausz

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1831756550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HEYWARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112497823",
            "telephone_number": "718-260-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HEYWARD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112497823",
            "telephone_number": "718-260-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODA PRIMARY HEALTH CARE NETWORK MOBILE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ODA PRIMARY HEALTH CARE NETWORK, INC.",
        "enumeration_date": "2019-05-29",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "TEITELBAUM",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-648-6682"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 4, 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.