INCARNATION CHILDREN'S CENTER (NPI# 1104027952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104027952 |
| Entity Type | Organization |
| Organization Name | INCARNATION CHILDREN'S CENTER |
| Practice Address |
142 Audubon Ave New York NY 10032-2102 |
| Practice Telephone | 2129282590 |
| Practice Fax Number | 2129281500 |
| Mailing Telephone | 2129282590 |
| Mailing Fax Number | 2129281500 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRUCE ADLER (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 6466334710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
7002357N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02072580 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INCARNATION CHILDREN'S CENTER FUND, INC. | Fund, Inc., 1290 St. Nicholas Ave., New York, Ny 10033 |
| Street Address |
142 AUDUBON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588793400 | Melissa K Malone | Nurse Practitioner | 142 Audubon Ave, New York, NY 10032-2102 | 2007-03-05 |
| 1336270511 | Catherine Jean Painter | Pediatrics | 142 Audubon Ave, Incarnation Children's Center, New York, NY 10032-2102 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013398536 | Favorite Healthcare Staffing | Skilled Nursing Facility | 625 Main St Apt 1432, New York, NY 10044-0036 | 2015-06-10 |
| 1447593702 | Karma Care Inc | Skilled Nursing Facility | 316 5th Ave, Room 404b, New York, NY 10001-3602 | 2013-04-04 |
| 1205197563 | Salvador Deocampo Jr | Skilled Nursing Facility | 4080 Broadway, New York, NY 10032-1542 | 2012-06-04 |
| 1538457312 | Elizabeth Seton Pediatric Center | Skilled Nursing Facility | 590 Avenue of The Americas, New York, NY 10011-2019 | 2011-07-14 |
| 1356580112 | Mary P. Phelan | Skilled Nursing Facility | 590 6th Ave, New York, NY 10011-2019 | 2009-02-18 |
| 1407001936 | John Coleman School | Skilled Nursing Facility | 590 6th Ave, New York, NY 10011-2019 | 2008-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144756479 | Christine Campbell | Skilled Nursing Facility | 14534 109th Ave, Jamaica, NY 11435-5414 | 2017-05-05 |
| 1871033985 | Sukhreet Bibbs | Skilled Nursing Facility | 1 Bradford Ct, Syracuse, NY 13207-2504 | 2017-03-08 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1790239929 | Interim Healthcare | Skilled Nursing Facility | 2088 S Dry Brook Rd, Hancock, NY 13783-3442 | 2016-08-04 |
| 1992152060 | Jessica Lopez | Skilled Nursing Facility | 27 Wyndham Rd, Brentwood, NY 11717-2336 | 2016-05-18 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1164893400 | Lois Knapp PCa | Skilled Nursing Facility | 2861 State Highway 7, Otego, NY 13825-2139 | 2015-10-13 |
| 1801265913 | Victor Marceano Rn | Skilled Nursing Facility | 85 California Ave, Middletown, NY 10940-6621 | 2015-09-18 |
| 1861860827 | Yves M Bastien | Skilled Nursing Facility | 79 Roeckel Ave, Valley Stream, NY 11580-3506 | 2015-09-08 |
| 1750757027 | Promed Staffing Resources | Skilled Nursing Facility | 99 Cameron Ave, Hempstead, NY 11550-4511 | 2015-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.