NPIMap

Organization Active NPI

City of New York Office of Payroll Administration

Doing business as NYCDOHMH Bushwick District

  • Community Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1912953035
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
7002112R13UT Issued in NY
Legal business name
CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION
Doing business as
NYCDOHMH Bushwick District
Practice address
335 Central Ave Nycdohmh Bushwick DHC
Brooklyn, NY 11221-4501
Phone
(718) 573-4886
Fax
(718) 573-4899
NPI assigned
May 26, 2006
Last updated
May 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Maritza Giraldo
Title
Billing Director
Phone
(347) 396-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 7002112R13UT NY Primary

Addresses

Primary practice location

335 Central Ave Nycdohmh Bushwick DHC
Brooklyn, NY 11221-4501

Mailing address

42-09 28TH Street CN-48
Long Island City, NY 11101-4132
Phone (347) 396-6234

Other identifiers 1

IdentifierTypeStateIssuer
00247585MedicaidNY

Other names 1

  • NYCDOHMH Bushwick District Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001483 NY Part B Supplier - Clinic/Group Practice 9739172644 Receives reassigned benefits from 69 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Staten Island, NY; New York, NY; Long Island City, NY; Jamaica, NY; Jackson Heights, NY; Brooklyn, NY; Bronx, NY

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Nycdohmh Bed Stuy Connect CMCM46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 94

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 94

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1912953035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42-09 28TH STREET CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014132",
            "telephone_number": "347-396-6234",
            "fax_number": "347-396-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 CENTRAL AVE NYCDOHMH BUSHWICK DHC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214501",
            "telephone_number": "718-573-4886",
            "fax_number": "718-573-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW YORK OFFICE OF PAYROLL ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "347-396-6234"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "7002112R13UT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00247585",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NYCDOHMH Bushwick District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.