UNITED CEREBRAL PALSY ASSOC OF NYS INC. (NPI# 1356897789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356897789 |
| Entity Type | Organization |
| Organization Name | UNITED CEREBRAL PALSY ASSOC OF NYS INC. |
| Other Organization Name | CEREBRAL PALSY ASSOC OF NYS |
| Practice Address |
12101 116th Ave South Ozone Park NY 11420-2523 |
| Mailing Address |
330 W 34th St Fl 15 New York NY 10001-2406 |
| Practice Telephone | 7188451200 |
| Practice Fax Number | 7183231267 |
| Mailing Telephone | 2129475770 |
| Mailing Fax Number | 2123561348 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |
| Authorized Official Name | MR. THOMAS MANDELKOW (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2129475770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities | ||
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| CEREBRAL PALSY ASSOC OF NYS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437214830 | United Cerebral Palsy Assoc of Nys Inc. | Clinic/Center | 9812 Lockport Rd, Cerebral Palsy of Niagara County, Niagara Falls, NY 14304 | 2006-12-26 |
| 1255496642 | United Cerebral Palsy Assoc of Nys Inc. | Clinic/Center | Queens Health Care Center, 51-40 59th Street, Woodside, NY 11377 | 2006-12-26 |
| 1285799684 | United Cerebral Palsy Assoc of Nys Inc. | Clinic/Center | Linda Buch Gherardi Health Care Center, 921 East New York Ave, Brooklyn, NY 11203 | 2006-12-26 |
| 1255837514 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 26 Coleman Rd, Garrison, NY 10524-3936 | 2018-04-04 |
| 1538665898 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 265 Watermelon Hill Rd, Mahopac, NY 10541-4443 | 2018-04-04 |
| 1427504877 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 14516 Farmers Blvd, Jamaica, NY 11434-5024 | 2016-08-26 |
| 1346796786 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 277 N 8th St, Brooklyn, NY 11211-2102 | 2016-08-26 |
| 1235685686 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 21820 104th Ave, Queens Village, NY 11429-2051 | 2016-08-26 |
| 1215483664 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 10422 48th Ave, Corona, NY 11368-2837 | 2016-08-26 |
| 1922554377 | United Cerebral Palsy Assoc of Nys Inc. | Intermediate Care Facility, Mental Illness | 225 Brooklyn Ave, Brooklyn, NY 11213-2504 | 2016-08-26 |
| Street Address |
12101 116TH AVE |
| City | SOUTH OZONE PARK |
| State | NY |
| Zip Code | 11420-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477604932 | Jennifer Ann Lucente | Speech-Language Pathologist | 12101 116th Ave, South Ozone Park, NY 11420-2523 | 2007-01-12 |
| 1407999634 | Cath Char Nghbhd Svs Caldwell Icf | Intermediate Care Facility, Mentally Retarded | 12101 116th Ave, South Ozone Park, NY 11420-2523 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652934 | Elijah Roberto Tavarez | Counselor | 10810 Rockaway Blvd, South Ozone Park, NY 11420 | 2020-09-01 |
| 1285247353 | Carlene Evans | Counselor | 109 -18 Rockaway Blvd, Ozone Park, NY 11420 | 2020-08-28 |
| 1558973636 | Alisa Montgomery | Counselor | 108-19 Rockaway Blvd., South Ozone, NY 11420 | 2020-08-19 |
| 1194380451 | Janette Homecare of New York | Registered Nurse | 126-16 111th Avenue, South Ozone Park, NY 11420 | 2019-05-02 |
| 1255994364 | Jasoda Girdhari Ali | Physician Assistant | 132 12 Linden Blvd, South Ozone Park, NY 11420 | 2019-04-16 |
| 1144794553 | Levinia Melaram | Nurse Practitioner | 12234 149th Ave Fl 2, South Ozone Park, NY 11420 | 2019-01-18 |
| 1558848572 | Avinell Shane Abdool | Physician Assistant | 109-42-111th Street, South Ozone Park, NY 11420 | 2018-07-23 |
| 1427556703 | Shari Dimple Mohan | Specialist | 132-52 114 Street, South Ozone Park, NY 11420 | 2018-01-31 |
| 1831625375 | Yes We Can Speech Language Pathologist LLC | Case Management | 111-58 Leffert Blvd, 2f, South Ozone Park, NY 11420 | 2017-05-03 |
| 1992255350 | Community Cardiovascular Services, Pllc | Internal Medicine | 117-44, 122nd Street, South Ozone Park, NY 11420 | 2016-10-10 |
| Find all providers in zip 11420 | ||||
| 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 |
|---|---|---|---|---|
| 1922210699 | Lifespire, Inc. | Intermediate Care Facility, Mentally Retarded | 127-06 Old South Road, South Ozone Park, NY 11420 | 2007-05-04 |
| 1407999634 | Cath Char Nghbhd Svs Caldwell Icf | Intermediate Care Facility, Mentally Retarded | 12101 116th Ave, South Ozone Park, NY 11420-2523 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762665 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 260 W 8th St, Elmira Heights, NY 14903-1502 | 2020-05-21 |
| 1518580851 | Schuyler County Chapter, Nysarc, Inc. | Intermediate Care Facility, Mentally Retarded | 525 Liberty St, Elmira, NY 14904-1517 | 2020-05-21 |
| 1386276541 | United Cerebral Palsy of Nyc Inc | Intermediate Care Facility, Mentally Retarded | 1841-1845 Lacombe Ave, Bronx, NY 10472 | 2020-02-06 |
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1538666052 | Upstate Cerebral Palsy, Inc. | Intermediate Care Facility, Mentally Retarded | 95 Seymour Lane, Westmoreland, NY 13490 | 2018-04-11 |
| 1457857716 | Nysarc, Inc. Cattaraugus-niagara County Chapter | Intermediate Care Facility, Mentally Retarded | 6821 Saunders Settlement Rd, Sanborn, NY 14132-9440 | 2018-04-04 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1962959403 | Linda Burgess | Intermediate Care Facility, Mentally Retarded | 35 E 8th Ave, Gloversville, NY 12078-2229 | 2016-09-01 |
| 1154774727 | Birch Family Services, Inc. | Intermediate Care Facility, Mentally Retarded | 525 W 149th St, New York, NY 10031-3402 | 2016-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH OZONE PARK |
| Zip Code | 11420 |
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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.