Organization Active NPI

Community Health Action of Staten Island, Inc.

  • Community/Behavioral Health Agency
  • Staten Island, NY
National Provider Identifier
1871793356
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.
Practice address
56 Bay St
Staten Island, NY 10301-2563
Phone
(718) 808-1300
Fax
(718) 808-1393
NPI assigned
Jul 23, 2007
Last updated
Apr 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Jennifer Lytton
Title
SNR. VP/Chief Fiscal Officer
Phone
(718) 808-1422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 080311454 NY
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

56 Bay St
Staten Island, NY 10301-2563

Mailing address

56 Bay St
Staten Island, NY 10301-2563
Phone (718) 808-1300

Other identifiers 1

IdentifierTypeStateIssuer
02521240MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1871793356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012563",
            "telephone_number": "718-808-1300",
            "fax_number": "718-808-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BAY ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012563",
            "telephone_number": "718-808-1300",
            "fax_number": "718-808-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH ACTION OF STATEN ISLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "LYTTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SNR. VP/CHIEF FISCAL OFFICER",
        "authorized_official_telephone_number": "718-808-1422"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "080311454",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02521240",
            "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 Apr 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.