NPIMap

Organization Active NPI

United Cerebral Palsy of New York City Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Staten Island, NY
National Provider Identifier
1861606048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
6124438 Issued in NY
Legal business name
UNITED CEREBRAL PALSY OF NEW YORK CITY INC
Practice address
165 Saint Marks PL
Apts 2a 2B
Staten Island, NY 10301-1669
Phone
(212) 687-6300
Fax
(212) 430-6024
NPI assigned
May 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. James Hood
Title
Associate Executive Director
Phone
(212) 683-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 6124438 NY Primary

Addresses

Primary practice location

165 Saint Marks PL
Apts 2a 2B
Staten Island, NY 10301-1669

Mailing address

80 Maiden LN
New York, NY 10038-4811
Phone (212) 683-6700

Other identifiers 1

IdentifierTypeStateIssuer
01063785MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Ucp of Nyc Brooklyn Center18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861606048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MAIDEN LN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384811",
            "telephone_number": "212-683-6700",
            "fax_number": "212-683-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SAINT MARKS PL",
            "address_2": "APTS 2A 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011669",
            "telephone_number": "212-687-6300",
            "fax_number": "212-430-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY OF NEW YORK CITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-683-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "6124438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01063785",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, 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.