Village Senior Services Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

VILLAGE SENIOR SERVICES CORPORATION

Doing business as

VillageCareMAX

Practice address

154 Christopher St
2D
New York, NY 10014-2840

Phone

(212) 337-5600

Fax

(212) 924-7396

NPI assigned

May 17, 2012

Last updated

May 17, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

VILLAGE CENTER FOR CAREAs reported in NPPES

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

Authorized official

Name

Sanjay Dutt

Title

Cfo

Phone

(212) 337-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VillageCareMAX Doing business as

Part of

Village Adult Day Health Care Day Treatment Program

Locations

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1942560537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CHRISTOPHER ST",
            "address_2": "2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142840",
            "telephone_number": "212-337-5600",
            "fax_number": "212-924-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 CHRISTOPHER ST",
            "address_2": "2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142840",
            "telephone_number": "212-337-5600",
            "fax_number": "212-924-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SENIOR SERVICES CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE CENTER FOR CARE",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "DUTT",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-337-5600"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03420399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VillageCareMAX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Village Park Medical, PC
• Village Pharmacy Corp (Village Apothecary)
• Village Primary Care LLP
• Village Psychology PLLC
• Village Psychotherapy LCSW LLC
• Villagetms LLC
• Seagram Miguel Villagomez, M.D.
• Nancy Villagran, PT
• Majhi Marie Villahermosa
• Gabrielle Villali

• Health Maintenance Organization in New York, NY
• Providers in New York, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.