Independence Care System, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INDEPENDENCE CARE SYSTEM, INC.

Practice address

25 Elm PL FL 5
Brooklyn, NY 11201-5826

Phone

(212) 584-2500

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Goggin-Callahan, JD

Title

Vice President, Compliance

Phone

(646) 653-6142

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1982186870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107304",
            "telephone_number": "646-653-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELM PL FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015826",
            "telephone_number": "212-584-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CARE SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "GOGGIN-CALLAHAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "VICE PRESIDENT, COMPLIANCE",
        "authorized_official_telephone_number": "646-653-6142",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01865329",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Indelicato, OD
• Molly Inden, ARNP
• Anna Indenbaum, RPH
• Independence Care System, Inc.
• Independence Care System, Inc.
• Independent Living Association, Inc.
• Independent Living Facilitators
• Independent PT Care PC
• Independent Success
• Judith Indich, CCC - SLP

• Case Management Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.