Addiction Research and Treatment Corporation
Organization Active NPI Community/Behavioral Health Agency · New York, NY
NPI 1871744342 · NPPES record last updated Oct 2, 2008
Key facts
- NPI
- 1871744342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 100310646 (NY)
- Legal business name
- ADDICTION RESEARCH AND TREATMENT CORPORATION
- Practice address
- 2195 3Rd Ave
New York, NY 10035-3529 - Phone
- (718) 348-5650
- Fax
- (212) 987-3023
- NPI assigned
- Oct 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Beny J. Primm, MD
- Title
- Executive Director
- Phone
- (718) 260-2950
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Addiction Research and Treatment Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 100310646 | NY | Yes |
Addresses
Primary practice location
2195 3Rd Ave
New York, NY 10035-3529
Mailing address
22 Chapel St
Brooklyn, NY 11201-1903
Phone (718) 260-2931
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244606 | Medicaid | NY |
NPI Registry JSON
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222905600000",
"number": "1871744342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CHAPEL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011903",
"telephone_number": "718-260-2931",
"fax_number": "718-875-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353529",
"telephone_number": "718-348-5650",
"fax_number": "212-987-3023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADDICTION RESEARCH AND TREATMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A",
"authorized_official_last_name": "PRIMM",
"authorized_official_first_name": "BENY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-260-2950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "100310646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244606",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.