NYSARC INC NYC CHAPTER (NPI# 1285701383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285701383 |
| Entity Type | Organization |
| Organization Name | NYSARC INC NYC CHAPTER |
| Practice Address |
141 W 4th St New York NY 10012-1010 |
| Mailing Address |
83 Maiden Ln 11 Th Floor New York NY 10038-4812 |
| Practice Telephone | 2127802631 |
| Practice Fax Number | 2127775893 |
| Mailing Telephone | 2127802631 |
| Mailing Fax Number | 2127775893 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT C GOLDSMITH (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2127802692 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS OMRDD OPERATING CERT | 6198443 | 01 |
| NY | 00356689 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649591561 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 126 E 126th Street, Apt 6d, New York, NY 10035-1702 | 2010-06-15 |
| 1629257381 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 2a, Jamaica, NY 11432-3901 | 2007-10-30 |
| 1346317450 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 200 Tysen St, Staten Island, NY 10301-1120 | 2006-11-30 |
| 1639246796 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 224 E 5th St, New York, NY 10003-8501 | 2006-11-30 |
| 1225105349 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 9520 95th St, Ozone Park, NY 11416-1607 | 2006-11-30 |
| 1285701326 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 1427 117th St, College Point, NY 11356-1545 | 2006-11-30 |
| 1578630604 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 1207 Ditmas Ave, Brooklyn, NY 11218-6031 | 2006-11-30 |
| 1043387186 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 3817 Bailey Ave, Bronx, NY 10463-2503 | 2006-11-30 |
| 1477620581 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 55 Galloway Ave, Staten Island, NY 10302-2527 | 2006-11-30 |
| 1790852820 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 6621 Marathon Pkwy, Little Neck, NY 11362-2350 | 2006-11-30 |
| Street Address |
141 W 4TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1962016980 | Aliceia Dolma Carin | Acupuncturist | 51 Spring St #14, New York, NY 10012 | 2020-09-08 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1558863761 | Shurla S Perry | Counselor | 96 W Houston St, New York, NY 10012 | 2018-03-03 |
| 1295246361 | Charlotta Noelle Nutley-phillips | Speech-Language Pathologist | 654 Broadway #2f, 654 Broadway, New York, NY 10012 | 2017-10-17 |
| 1023496163 | Kelley Pauline Hershman | Counselor | 159 Bleecker St Apt 2a, New York, NY 10012 | 2015-05-08 |
| 1134514599 | Frank Joseph Vogt | Acupuncturist | 73 Spring St., Suite 201, New York, NY 10012 | 2015-04-02 |
| 1063816932 | Howard Schatz | Orthopaedic Surgery | 435 West Broadway, #2, New York, NY 10012 | 2014-10-21 |
| 1649680737 | Charlotte Aronin Birnbaum | Dermatology | 73 Spring Street, Suite 303, New York, NY 10012 | 2014-04-29 |
| 1841600988 | Jeffrey Cohen Mental Health Counseling, P.C. | Counselor | 14 East 4th Street, Suite 506, New York, NY 10012 | 2014-04-29 |
| Find all providers in zip 10012 | ||||
| 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 |
|---|---|---|---|---|
| 1154774727 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 525 W 149th St, New York, NY 10031-3402 | 2016-07-19 |
| 1326498791 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 569 W 183rd St, New York, NY 10033-8627 | 2016-06-16 |
| 1649591561 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 126 E 126th Street, Apt 6d, New York, NY 10035-1702 | 2010-06-15 |
| 1023287547 | Young Adult Institute, Inc. | Intermediate Care Facility, Mentally Retarded | 314 E 35th St, Ste 3, New York, NY 10016-3760 | 2008-02-28 |
| 1699954412 | Association for The Advancement of Blind and Retarded Inc | Intermediate Care Facility, Mentally Retarded | 130 Water Street, Apartment 2j, New York, NY 10005 | 2007-10-29 |
| 1366654154 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 201 Second Avenue, New York, NY 10003 | 2007-05-04 |
| 1467664243 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 484 Second Avenue 9a, New York, NY 10016 | 2007-05-04 |
| 1457406811 | Herbert G. Birch Services, Inc | Intermediate Care Facility, Mentally Retarded | 104 W 29th St # 3fl, New York, NY 10001-5310 | 2007-01-24 |
| 1639246796 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 224 E 5th St, New York, NY 10003-8501 | 2006-11-30 |
| 1215004353 | Catholic Guardian Society & Home Bureau | Intermediate Care Facility, Mentally Retarded | 107 Payson Ave, New York, NY 10034-2763 | 2006-11-30 |
| Find all providers in NEW YORK | ||||
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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.