1427063270 NPI number — NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427063270 NPI number — NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LINCOLN MEDICAL AND MENTAL HEALTH CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427063270
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
06/26/2007
NPI Reactivation Date:
06/28/2007

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 WATER ST FL 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10004-6010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
646-458-3481
Provider Business Mailing Address Fax Number:
646-458-3434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
234 E 149TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10451-5504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-579-5788
Provider Business Practice Location Address Fax Number:
718-579-4710
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KARLIN
Authorized Official First Name:
MARJI
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF REVENUE OFFICER
Authorized Official Telephone Number:
646-458-3481

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 273R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336I0012X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00246126 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009745 . This is a "BLUE CROSS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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