NPIMap

Organization Active NPI

Public Health Solutions

  • Case Management Registered Nurse
  • Corona, NY
National Provider Identifier
1942491691
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
Legal business name
PUBLIC HEALTH SOLUTIONS
Practice address
10324 Roosevelt Ave FL 2
Corona, NY 11368-1562
Phone
(347) 571-2792
NPI assigned
Aug 7, 2007
Organization subpart
Yes
Parent organization
PUBLIC HEALTH SOLUTIONS - NFPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Lisa David
Title
Chief Executive Officer
Phone
(646) 619-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X Primary
Community Health Clinic/Center 261QC1500X 7002296R NY

Addresses

Primary practice location

10324 Roosevelt Ave FL 2
Corona, NY 11368-1562

Mailing address

40 Worth St FL 4
New York, NY 10013-2904
Phone (646) 619-6400

Other identifiers 1

IdentifierTypeStateIssuer
00245538MedicaidNY

Other names 3

  • Public Health Solutions Doing business as
  • Public Health Solutions - NFP Doing business as
  • Public Health Solutions NFP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Public Health Solutions9 organizations share this tax ID, including this one
Part of
Public Health Solutions

Other organizations with this tax ID 8

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

Locations

10324 Roosevelt Ave
Fl 2
Corona, NY 11368
Phone (347) 571-4732

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1680134400000",
    "number": "1942491691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WORTH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100132904",
            "telephone_number": "646-619-6400",
            "fax_number": "646-619-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 ROOSEVELT AVE FL 2",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681562",
            "telephone_number": "347-571-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUBLIC HEALTH SOLUTIONS - NFP",
        "enumeration_date": "2007-08-07",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "646-619-6400"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "7002296R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245538",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Public Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Public Health Solutions - NFP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Public Health Solutions NFP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.