Active NPI
Concepcion Pacheco, CASAC
- Case Management Agency
- Inwood, NY
National Provider Identifier
1982064416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 6469
- Practice address
- 420 Doughty Blvd
Inwood, NY 11096-1357 - Phone
- (516) 564-2017
- NPI assigned
- Feb 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 6469 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6469 | NY |
Addresses
Primary practice location
420 Doughty Blvd
Inwood, NY 11096-1357
Mailing address
101 Cedar St
Apt 207
Fort Lee, NJ 07024-7037
Phone (718) 496-1589
Other names 1
- Ms. Concepcion Pacheco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6469 | NY | MD | Case Management Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recoveries R US LLC | Case Management | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Inwood, NY
- NPI 1255791646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1982064416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CEDAR ST",
"address_2": "APT 207",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070247037",
"telephone_number": "718-496-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 DOUGHTY BLVD",
"city": "INWOOD",
"state": "NY",
"postal_code": "110961357",
"telephone_number": "516-564-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "CONCEPCION",
"credential": "CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NY",
"license": "6469",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "6469",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CONCEPCION",
"last_name": "PACHECO",
"prefix": "MS.",
"credential": "CASAC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Inwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.