Organization Active NPI

Gay Men'S Health Crisis, Inc.

  • Community Health Clinic/Center
  • New York, NY
National Provider Identifier
1992903389
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GAY MEN'S HEALTH CRISIS, INC.
Practice address
307 W 38TH St
New York, NY 10018
Phone
(212) 367-1566
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Kishani Chinniah Moreno
Title
Interim Chief Executive Officer
Phone
(212) 367-1492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

307 W 38TH St
New York, NY 10018

Mailing address

307 W 38TH St
New York, NY 10018-2913
Phone (212) 367-1566

Other identifiers 1

IdentifierTypeStateIssuer
01422811MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150622001310 NY Part B Supplier - Clinic/Group Practice 2466763107 Receives reassigned benefits from 14 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

446 W 33rd St
New York, NY 10001
Phone (212) 367-1284

307 W 38th St
Frnt 8
New York, NY 10018
Phone (212) 367-1225

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1992903389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182913",
            "telephone_number": "212-367-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W 38TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-367-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAY MEN'S HEALTH CRISIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "KISHANI",
        "authorized_official_middle_name": "CHINNIAH",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "212-367-1492"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422811",
            "state": "NY"
        }
    ],
    "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 Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.