Organization Active NPI

Interboro Clinic

  • Case Management Agency
  • Brooklyn, NY
National Provider Identifier
1992983183
Registry record updated Feb 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
INTERBORO CLINIC
Practice address
1670 E 17TH St
Brooklyn, NY 11229-1258
Phone
(718) 375-1200
NPI assigned
Feb 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2008

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

Authorized official

Name
Miss Jennifer Eve Goldstein, LMSW
Title
Social Worker
Phone
(646) 596-8537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1670 E 17TH St
Brooklyn, NY 11229-1258

Mailing address

24 N Cheryl St
Spring Valley, NY 10977-6510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202601600000",
    "number": "1992983183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N CHERYL ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291258",
            "telephone_number": "718-375-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERBORO CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "646-596-8537",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; 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.