PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC (NPI# 1407034614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407034614 |
| Entity Type | Organization |
| Organization Name | PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC |
| Other Organization Name | PROMESA INC |
| Practice Address |
1776 Clay Ave Bronx NY 10457 |
| Mailing Address |
1776 Clay Ave Bronx NY 10457-7239 |
| Practice Telephone | 7182991100 |
| Mailing Telephone | 7182991100 |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | LYMARIS ALBORS (COO AND EVP) |
| Authorized Official Telephone | 3476493295 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
170811936 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03012360 | 05 |
| Other Name | Type Code |
|---|---|
| Promesa Inc | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 561 Court St, Brooklyn, NY 112313804 | 7187807421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942486717 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts, Inc | Clinic/Center | 254 Virginia St, Buffalo, NY 14201 | 2008-01-11 |
| 1295911063 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts, Inc | Clinic/Center | 1776 Clay Ave, Bronx, NY 10457 | 2008-01-11 |
| Street Address |
1776 CLAY AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000353 | David C Collymore | Pediatrics | 1776 Clay Ave, Bronx, NY 10457-7239 | 2005-08-23 |
| 1700358728 | Giitou Neor | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2019-01-02 |
| 1194224212 | Laura Zehnder-shamciyan | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2018-02-04 |
| 1891226692 | Francisca Duarte | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2017-03-23 |
| 1609307453 | James Dike | Social Worker | 1776 Clay Ave, Bronx, NY 10457-7239 | 2017-03-23 |
| 1912453929 | Adrienne Christina Cagler | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2016-08-30 |
| 1073974143 | Takiysha Mcleod | Nurse Practitioner | 1776 Clay Ave, Bronx, NY 10457-7239 | 2016-03-16 |
| 1114398971 | Ashley St. Ford | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2015-10-19 |
| 1649641408 | Sylwia Wielgosz | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2015-10-19 |
| 1700257557 | Michael Ford | Counselor | 1776 Clay Ave, Bronx, NY 10457-7239 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
| Find all providers in zip 10457 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093187254 | Samaritan Daytop Village, Inc. | Clinic/Center | 2778 Third Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1831507573 | Nathaniel Chambers | Clinic/Center | 801 Saint Anns Ave, Bronx, NY 10456-7648 | 2014-07-25 |
| 1891082004 | Palladia Incorporated | Clinic/Center | 1366 Inwood Ave, Bronx, NY 10452-3203 | 2011-07-08 |
| 1831377407 | Vertex LLC | Clinic/Center | 1080 E Gun Hill Rd, Bronx, NY 10469-3742 | 2008-02-06 |
| 1649474552 | Arms Acres Inc | Clinic/Center | 3584 Jerome Ave., Bronx, NY 10467-1052 | 2007-06-13 |
| 1205957297 | Samaritan Daytop Village, Inc. | Clinic/Center | 900 Arnow Avenue, Bronx, NY 10469 | 2007-04-03 |
| 1508849993 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts Inc | Clinic/Center | 1776 Clay Avenue, Bronx, NY 10457 | 2005-11-21 |
| 1417571639 | Samaritan Daytop Village, Inc. | Clinic/Center | 3050 White Plains Road, Bronx, NY 10467 | 2020-06-03 |
| 1548710379 | Samaritan Daytop Village | Clinic/Center | 900 Arnow Ave, Bronx, NY 10469-3906 | 2016-10-05 |
| 1104298363 | Samaritan Village | Clinic/Center | 528 Morris Ave, Bronx, NY 10451 | 2015-10-28 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS, INC.
| 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.