NPIMap

Organization Active NPI

United Cerebral Palsy Assoc of Nys

Doing business as Cerebral Palsy of NYS

  • Intellectual Disabilities Intermediate Care Facility
  • Astoria, NY
National Provider Identifier
1891817623
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
UNITED CEREBRAL PALSY ASSOC OF NYS
Doing business as
Cerebral Palsy of NYS
Practice address
2918 21St St
Astoria, NY 11102-3631
Phone
(718) 278-7039
NPI assigned
Apr 4, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Mr. Thomas Mandelkow
Title
Exec Vice Pres
Phone
(212) 947-5770

Specialties & licenses 1

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

Addresses

Primary practice location

2918 21St St
Astoria, NY 11102-3631

Mailing address

330 W 34TH St # 15FL
New York, NY 10001-2406
Phone (212) 947-5770

Other identifiers 1

IdentifierTypeStateIssuer
00776141MedicaidNY

Other names 1

  • Cerebral Palsy of NYS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy of Nys32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

2918 21st St
Astoria, NY 11102
Phone (718) 278-7039

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1891817623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 34TH ST # 15FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012406",
            "telephone_number": "212-947-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023631",
            "telephone_number": "718-278-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOC OF NYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "MANDELKOW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXEC VICE PRES",
        "authorized_official_telephone_number": "212-947-5770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00776141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cerebral Palsy of NYS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.