NPIMap

Organization Active NPI

Public Health Solutions

Doing business as MIC Women's Health Services - Jamaica

  • Community Health Clinic/Center
  • Jamaica, NY
National Provider Identifier
1902097660
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
7002296R Issued in NY
Legal business name
PUBLIC HEALTH SOLUTIONS
Doing business as
MIC Women's Health Services - Jamaica
Practice address
9004 161St St
5TH Floor
Jamaica, NY 11432-6103
Phone
(718) 523-2123
Fax
(718) 522-5833
NPI assigned
Aug 7, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PUBLIC HEALTH SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Ms. Ellen Rautenberg
Title
Chief Excecutive Officer
Phone
(646) 619-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 7002296R NY Primary

Addresses

Primary practice location

9004 161St St
5TH Floor
Jamaica, NY 11432-6103

Mailing address

220 Church St
5TH Floor
New York, NY 10013-2904
Phone (646) 619-6400

Other identifiers 1

IdentifierTypeStateIssuer
00245538MedicaidNY

Other names 1

  • MIC Women's Health Services - Jamaica Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pryme Med HLTH Research9 organizations share this tax ID, including this one
Part of
Pryme Med HLTH Research

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1902097660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHURCH ST",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132904",
            "telephone_number": "646-619-6400",
            "fax_number": "646-619-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 161ST ST",
            "address_2": "5TH FLOOR",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326103",
            "telephone_number": "718-523-2123",
            "fax_number": "718-522-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HEALTH SOLUTIONS",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "RAUTENBERG",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF EXCECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-619-6401",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "7002296R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIC Women's Health Services - Jamaica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.