NPIMap

Organization Active NPI

Palladia Incorporated

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bronx, NY
National Provider Identifier
1891082004
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
23709380 Issued in NY
Legal business name
PALLADIA INCORPORATED
Practice address
1366 Inwood Ave
Bronx, NY 10452-3203
Phone
(646) 401-9700
Fax
(646) 401-9701
NPI assigned
Jul 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Ms. Diana Abalola, RN
Title
Staff Nurse
Phone
(646) 401-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 23709380 NY Primary

Addresses

Primary practice location

1366 Inwood Ave
Bronx, NY 10452-3203

Mailing address

1366 Inwood Ave
Bronx, NY 10452-3203
Phone (646) 401-9700

National Provider Directory

National Provider Directory
Tax ID family
Starhill10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1366 Inwood Ave
Bronx, NY 10452
Phone (646) 401-9700

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1891082004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 INWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523203",
            "telephone_number": "646-401-9700",
            "fax_number": "646-401-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 INWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523203",
            "telephone_number": "646-401-9700",
            "fax_number": "646-401-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLADIA INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "ABALOLA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "646-401-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NY",
            "license": "23709380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.