Realization Center
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · New York, NY
NPI 1972932465 · NPPES record last updated Nov 5, 2013
Key facts
- NPI
- 1972932465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- License
- 89756 (NY)
- Legal business name
- REALIZATION CENTER
- Practice address
- 19 Union SQ W
7TH Floor
New York, NY 10003-3304 - Phone
- (212) 627-9600
- Fax
- (212) 627-4040
- NPI assigned
- Nov 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Natalia Shatulina, BS, AOS
- Title
- Operations Manager
- Phone
- (212) 627-9600
Corporate family (same tax ID) 2
Practitioners 230
-
Emil Achmad, M.D.
-
Robert Alexander, LMSW
-
Maria Alikakos, D.O.
-
Deirdra Assey, MA
-
Elena Bajburina, CASAC
-
Nicole Banner, LMSW
-
William Barber, MA
-
Shulamit Berman, BSW
-
Rebecca Birnbaum, CASAC-T
-
Debra Bovian, CASAC
-
Andrea Brown, LCSW
National Provider Directory
- Tax ID family
- Realization Center
Locations
19 Union Sq W
Fl 7
New York, NY 10003
Phone (212) 627-9600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 89756 | NY | Yes |
Addresses
Primary practice location
19 Union SQ W
7TH Floor
New York, NY 10003-3304
Mailing address
19 Union SQ W
7TH Floor
New York, NY 10003-3304
Phone (212) 627-9600
NPI Registry JSON
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383609600000",
"number": "1972932465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 UNION SQ W",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033304",
"telephone_number": "212-627-9600",
"fax_number": "212-627-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 UNION SQ W",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033304",
"telephone_number": "212-627-9600",
"fax_number": "212-627-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REALIZATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-05",
"status": "A",
"authorized_official_last_name": "SHATULINA",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "212-627-9600",
"authorized_official_credential": "BS, AOS"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NY",
"license": "89756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.