NPIMap

Organization Active NPI

Yeshiva University

  • Methadone Clinic
  • Bronx, NY
National Provider Identifier
1891837910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
YESHIVA UNIVERSITY
Practice address
1500 Waters Place
BPC Betty Parker BLDG WD 20 6TH FL
Bronx, NY 10461
Phone
(718) 409-9450
Fax
(718) 931-1432
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Emanuel Genn
Title
Associate Dean of Business Affairs
Phone
(718) 409-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

1500 Waters Place
BPC Betty Parker BLDG WD 20 6TH FL
Bronx, NY 10461

Mailing address

1300 Morris Park Avenue
Bronx, NY 10461

Other identifiers 1

IdentifierTypeStateIssuer
00245643MedicaidNY

National Provider Directory

National Provider Directory

Locations

1410 Pelham Pkwy S
Bronx, NY 10461
Phone (718) 430-8500

1500 Waters Pl
Spc Betty
Bronx, NY 10461
Phone (718) 409-9450

1764 Randall Ave
Bronx, NY 10473
Phone (718) 542-4100

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891837910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MORRIS PARK AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WATERS PLACE",
            "address_2": "BPC BETTY PARKER BLDG WD 20 6TH FL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10461",
            "telephone_number": "718-409-9450",
            "fax_number": "718-931-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESHIVA UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENN",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "ASSOCIATE DEAN OF BUSINESS AFFAIRS",
        "authorized_official_telephone_number": "718-409-9450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245643",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.