UNITED CEREBRAL PALSY ASSOC OF NYS INC (NPI# 1225150030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225150030 |
| Entity Type | Organization |
| Organization Name | UNITED CEREBRAL PALSY ASSOC OF NYS INC |
| Other Organization Name | CEREBRAL PALSY OF NYS |
| Practice Address |
455 Medina St Staten Island NY 10306-4435 |
| Mailing Address |
330 W 34th St # 15fl New York NY 10001-2406 |
| Practice Telephone | 7189878331 |
| Mailing Telephone | 2129475770 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | MR. THOMAS MANDELKOW (EXEC VICE PRES) |
| Authorized Official Telephone | 2129475770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00771559 | 05 |
| Other Name | Type Code |
|---|---|
| Cerebral Palsy of NYS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376600551 | United Cerebral Palsy Assoc of Nys Inc | Clinic/Center | Koicheff Health Care Center, 2324 Forest Ave, Staten Island, NY 10303 | 2007-01-03 |
| 1437635448 | United Cerebral Palsy Assoc of Nys Inc | Intermediate Care Facility, Mental Illness | 240 N Little Tor Rd, New City, NY 10956-2627 | 2018-07-12 |
| 1437335312 | United Cerebral Palsy Assoc of Nys Inc | Clinic/Center | 18 Broad St, Johnson City, NY 13790-2106 | 2008-01-10 |
| 1205995362 | United Cerebral Palsy Assoc of Nys Inc | Clinic/Center | 2 Fletcher St, Goshen, NY 10924-1402 | 2006-12-06 |
| Street Address |
455 MEDINA ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780863589 | Association for The Advancement of Blind and Retarded Inc | Intermediate Care Facility, Mentally Retarded | 158 Cromwell Avenue, Staten Island, NY 10304 | 2007-10-29 |
| 1134338353 | United Cerebral Palsy of New York City, Inc. | Intermediate Care Facility, Mentally Retarded | 185 Saint Marks Pl, Apts. 2l-m, Staten Island, NY 10301-1670 | 2007-05-22 |
| 1861606048 | United Cerebral Palsy of New York City Inc | Intermediate Care Facility, Mentally Retarded | 165 Saint Marks Pl, Apts 2a 2b, Staten Island, NY 10301-1669 | 2007-05-09 |
| 1073726188 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 107 Jumel St, Staten Island, NY 10308-1720 | 2007-05-07 |
| 1134332257 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 146 South Ave, Staten Island, NY 10303-1665 | 2007-05-07 |
| 1932322518 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 35 Sharrotts Rd, Staten Island, NY 10309-1953 | 2007-04-11 |
| 1518089390 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 64 Madsen Ave, Staten Island, NY 10309-2608 | 2007-04-04 |
| 1548382393 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 17 Scarboro Ave, Staten Island, NY 10305-3118 | 2007-04-04 |
| 1023150398 | Eden II School for Autistic Children | Intermediate Care Facility, Mentally Retarded | 150 Granite Avenue, Staten Island, NY 10303 | 2007-02-13 |
| 1275673287 | State of New York | Intermediate Care Facility, Mentally Retarded | 24 O Executive Way, Staten Island, NY 10314 | 2007-02-07 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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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.