NPIMap

Organization Active NPI

Basics/Promesa Systems Inc.,

  • Health Service Clinic/Center
  • Bronx, NY
National Provider Identifier
1982900544
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
083184 Issued in NY
Legal business name
BASICS/PROMESA SYSTEMS INC.,
Practice address
1776 Clay Avenue
Bronx, NY 10457
Phone
(718) 299-1100
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Pam Mattel, LMSW
Title
Coo
Phone
(718) 299-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 083184 NY Primary

Addresses

Primary practice location

1776 Clay Avenue
Bronx, NY 10457

Mailing address

262-4 East 174TH Street
Bronx, NY 10457
Phone (718) 299-1100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1982900544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262-4 EAST 174TH STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-299-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 CLAY AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-299-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASICS/PROMESA SYSTEMS INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "MATTEL",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-299-1100",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "083184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.