Organization Active NPI

Iris House, Inc.

  • Case Management Agency
  • New York, NY
National Provider Identifier
1932323748
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
IRIS HOUSE, INC.
Practice address
2348 Adam Clayton Powell Jr Blvd
New York, NY 10030-2301
Phone
(646) 548-0100
Fax
(646) 548-0200
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Ms. Lawrence Carter
Title
Comptroller
Phone
(646) 548-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2348 Adam Clayton Powell Jr Blvd
New York, NY 10030-2301

Mailing address

2348 Adam Clayton Powell Jr Blvd
New York, NY 10030-2301
Phone (646) 548-0100

Other identifiers 1

IdentifierTypeStateIssuer
01881438MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1062506Iris House2348 Adam Clayton Jr Blvd, New York, NY 10030Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2348 Adam Clayton Powell Jr Blvd
New York, NY 10030
Phone (646) 548-0100

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1932323748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302301",
            "telephone_number": "646-548-0100",
            "fax_number": "646-548-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 ADAM CLAYTON POWELL JR BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100302301",
            "telephone_number": "646-548-0100",
            "fax_number": "646-548-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "646-548-0100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01881438",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.