NEW YORK CENTER FOR ADDICTION TREATMENT SERVICES, INC. (NPI# 1700263175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700263175 |
| Entity Type | Organization |
| Organization Name | NEW YORK CENTER FOR ADDICTION TREATMENT SERVICES, INC. |
| Practice Address |
3720 74th St 3rd Floor Jackson Heights NY 11372-6338 |
| Mailing Address |
598 Broadway Fl 2 New York NY 10012-3363 |
| Practice Telephone | 7184266222 |
| Mailing Telephone | 2129669537 |
| Mailing Fax Number | 2125845450 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | EVERETT KRAMER (CEO) |
| Authorized Official Telephone | 9148829652 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW YORK CENTER FOR ADDICTION TREATMENT SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 160411881 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OASAS | 160411881 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497942114 | New York Center for Addiction Treatment Services, Inc. | Clinic/Center | 598 Broadway, 2nd Floor, New York, NY 10012-3225 | 2007-09-26 |
| Street Address |
3720 74TH ST 3RD FLOOR |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-6338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760623953 | Lillian Passoni | Counselor | 3720 74th St, 3rd Fl, Jackson Heights, NY 11372-6338 | 2009-03-17 |
| 1164035457 | Cherita Danielle Simmons | Counselor | 3720 74th St, Jackson Heights, NY 11372-6338 | 2020-08-26 |
| 1003306531 | Cheryl Lynn Delaney | Counselor | 3720 74th St, Jackson Heights, NY 11372-6338 | 2018-05-10 |
| 1174060560 | Jose Ortiz | Counselor | 3720 74th St, 3fl, Jackson Heights, NY 11372-6338 | 2017-01-24 |
| 1841732096 | Stafford Warren | Counselor | 3720 74th St, 3fl, Jackson Heights, NY 11372-6338 | 2016-11-04 |
| 1720530280 | Gina Lyn Kmiotek | Social Worker | 3720 74th St, 3rd Floor, Jackson Heights, NY 11372-6338 | 2016-11-01 |
| 1639621014 | Vanessa Jazmin Rivera | Counselor | 3720 74th St, 3rd Floor, Jackson Heights, NY 11372-6338 | 2016-11-01 |
| 1861944258 | Carlamia Francis Bartholomew | Counselor | 3720 74th St, 3rd Floor, Jackson Heights, NY 11372-6338 | 2016-11-01 |
| 1205223245 | Antionette Bassi Rojas | Counselor | 3720 74th St, 3rd Floor, Jackson Heights, NY 11372-6338 | 2015-04-16 |
| 1952738221 | Wesley T Gill | Counselor | 3720 74th St, Jackson Heights, NY 11372-6338 | 2013-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144760018 | Amor Homecare Inc | Clinic/Center | 9305 37th Ave Ste 1c, Jackson Heights, NY 11372-7959 | 2017-02-27 |
| 1952758807 | Roosevelt Cardio Vascular Diagnostic, P.C. | Clinic/Center | 37-51 A 90th St, Jackson Heights, NY 11372-7936 | 2016-05-20 |
| 1548491046 | Western Queens Medical Associates, Pllc | Clinic/Center | 8201 37th Ave, Jackson Heights, NY 11372-7011 | 2009-07-31 |
| 1164584363 | Rnt General Medical and Rehab PC | Clinic/Center | 3744 75th St, Jackson Heights, NY 11372-6414 | 2006-12-14 |
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|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
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| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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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.