Organization Active NPI

Make Harlem Great Again Corporation

  • Peer Specialist
  • New York, NY
National Provider Identifier
1962312793
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
MAKE HARLEM GREAT AGAIN CORPORATION
Practice address
245 W 131St St # 12
New York, NY 10027-2019
Phone
(844) 427-5360
NPI assigned
Sep 11, 2026
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Mr. Quintin Jerome Ballentine
Title
Ceo
Phone
(202) 995-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

245 W 131St St # 12
New York, NY 10027-2019

Mailing address

245 W 131St St
New York, NY 10027-2019
Phone (844) 427-5360

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1962312793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W 131ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272019",
            "telephone_number": "844-427-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W 131ST ST # 12",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272019",
            "telephone_number": "844-427-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKE HARLEM GREAT AGAIN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "BALLENTINE",
        "authorized_official_first_name": "QUINTIN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-995-3133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 2026; 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.