1679587679 NPI number — NEW YORK CITY HEALTH AND HOSPITALS CORPORATION

Table of content: (NPI 1679587679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679587679 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:
NORTH CENTRAL BRONX HOSPITAL
Provider Other Organization Name Type Code:
5
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:
1679587679
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

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:
1400 PELHAM PKWY S
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:
10461-1138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-918-3677
Provider Business Practice Location Address Fax Number:
718-918-7113
Provider Enumeration Date:
07/28/2006

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: 251E00000X , with the licence number:  7002654 , registered in the state of NY ; 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: 273Y00000X ; 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: 00246048 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009756 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".




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