NPIMap

Organization Active NPI

Selfhelp Alzheimers Resource Program

  • PACE Provider Organization
  • New York, NY
National Provider Identifier
1861770547
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
SELFHELP ALZHEIMERS RESOURCE PROGRAM
Practice address
520 Eighth Avenue
New York, NY 10018-6553
Phone
(212) 971-7600
NPI assigned
Jul 28, 2011
Organization subpart
Yes
Parent organization
SELFHELP COMMUNITY SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Authorized official

Name
Mr. Russell Lusak
Title
Vice President, Administration
Phone
(212) 971-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

520 Eighth Avenue
New York, NY 10018-6553

Mailing address

520 Eighth Avenue
New York, NY 10018-6553

National Provider Directory

National Provider Directory
Tax ID family
Selfhelp Community Services Inc4 organizations share this tax ID, including this one
Part of
Selfhelp Community Services Inc

Other organizations with this tax ID 3

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

Locations

520 8th Ave
New York, NY 10018
Phone (212) 971-7600

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311811200000",
    "number": "1861770547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 EIGHTH AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 EIGHTH AVENUE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186553",
            "telephone_number": "212-971-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFHELP ALZHEIMERS RESOURCE PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELFHELP COMMUNITY SERVICES, INC",
        "enumeration_date": "2011-07-28",
        "last_updated": "2011-07-28",
        "status": "A",
        "authorized_official_last_name": "LUSAK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "VICE PRESIDENT, ADMINISTRATION",
        "authorized_official_telephone_number": "212-971-7707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 28, 2011; 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.