NYSARC INC NYC CHAPTER (NPI# 1487835096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487835096 |
| Entity Type | Organization |
| Organization Name | NYSARC INC NYC CHAPTER |
| Practice Address |
16120 89th Ave Apt 3d Jamaica NY 11432-3901 |
| Mailing Address |
83 Maiden Ln 11 Th Floor New York NY 10038-4812 |
| Practice Telephone | 2127802538 |
| Mailing Telephone | 2127802631 |
| Mailing Fax Number | 2127775893 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | MR. ROBERT C GOLDSMITH (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2127802692 |
| Is Organization Subpart | Y |
| Parent Organization Name | NYSARC INC NYC CHAPTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 06198494 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS OMRDD | 06198494 | 01 |
| NY | 02915066 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649591561 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 126 E 126th Street, Apt 6d, New York, NY 10035-1702 | 2010-06-15 |
| 1629257381 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 2a, Jamaica, NY 11432-3901 | 2007-10-30 |
| 1285701383 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 141 W 4th St, New York, NY 10012-1010 | 2006-11-30 |
| 1346317450 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 200 Tysen St, Staten Island, NY 10301-1120 | 2006-11-30 |
| 1639246796 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 224 E 5th St, New York, NY 10003-8501 | 2006-11-30 |
| 1225105349 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 9520 95th St, Ozone Park, NY 11416-1607 | 2006-11-30 |
| 1285701326 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 1427 117th St, College Point, NY 11356-1545 | 2006-11-30 |
| 1578630604 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 1207 Ditmas Ave, Brooklyn, NY 11218-6031 | 2006-11-30 |
| 1043387186 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 3817 Bailey Ave, Bronx, NY 10463-2503 | 2006-11-30 |
| 1477620581 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 55 Galloway Ave, Staten Island, NY 10302-2527 | 2006-11-30 |
| Street Address |
16120 89TH AVE APT 3D |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629257381 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 2a, Jamaica, NY 11432-3901 | 2007-10-30 |
| 1922289537 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 3c, Jamaica, NY 11432-3901 | 2007-11-26 |
| 1104007715 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, 2b, Jamaica, NY 11432-3901 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| 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 |
|---|---|---|---|---|
| 1629257381 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 2a, Jamaica, NY 11432-3901 | 2007-10-30 |
| 1205048105 | Urban Resource Institute | Intermediate Care Facility, Mentally Retarded | 15519 Linden Blvd, Jamaica, NY 11434-1017 | 2007-05-04 |
| 1639292774 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 110-35 164th Place, Jamaica, NY 11433 | 2007-04-06 |
| 1194868257 | Cath Char Nghbhd Svs Mugavero Icf | Intermediate Care Facility, Mentally Retarded | 14516 Farmers Blvd, Jamaica, NY 11434-5024 | 2007-02-15 |
| 1821263377 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-25 |
| 1467627380 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1487829396 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1578738399 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1558536375 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| 1609041524 | Ucp of Queens | Intermediate Care Facility, Mentally Retarded | 8115 164th St, Jamaica, NY 11432-1118 | 2008-04-23 |
| Find all providers in JAMAICA | ||||
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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.