NPIMap

Organization Active NPI

Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
National Provider Identifier
1912436858
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7002119R Issued in NY
Legal business name
COMMUNITY HEALTHCARE NETWORK, INC.
Practice address
504 W. 158TH Street
5TH Floor, Room 511
New York, NY 10032-7202
Phone
(917) 521-3130
Fax
(917) 521-3108
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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

Authorized official

Name
Alan J. Wengrofsky
Title
Vice President of Finance and Cfo
Phone
(212) 545-2439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7002119R NY Primary

Addresses

Primary practice location

504 W. 158TH Street
5TH Floor, Room 511
New York, NY 10032-7202

Mailing address

60 Madison Ave FL 5
New York, NY 10010-1600
Phone (212) 545-2439

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Other names 1

  • Phoenix School Based Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comm Healthcare Network Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400

504 W 158th St
Fl 5
New York, NY 10032
Phone (917) 521-3130

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496620800000",
    "number": "1912436858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101600",
            "telephone_number": "212-545-2439",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W. 158TH STREET",
            "address_2": "5TH FLOOR, ROOM 511",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327202",
            "telephone_number": "917-521-3130",
            "fax_number": "917-521-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A",
        "authorized_official_last_name": "WENGROFSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE AND CFO",
        "authorized_official_telephone_number": "212-545-2439"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7002119R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phoenix School Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.