PUERTO RICAN ORGANIZATION TO MOTIVATE ENLIGHTEN AND SERVE ADDICTS INC (NPI# 1598008476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598008476 |
| 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 |
| Practice Fax Number | 7187167822 |
| Mailing Telephone | 7182991100 |
| Mailing Fax Number | 7187167822 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | MILTON DERIENZO (CFO) |
| Authorized Official Telephone | 3476493083 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PROMESA INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508849993 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts Inc | Clinic/Center | 1776 Clay Avenue, Bronx, NY 10457 | 2005-11-21 |
| 1386987212 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts Inc | Psychiatric Residential Treatment Facility | 1776 Clay Ave, Bronx, NY 10457 | 2013-03-28 |
| 1407830946 | Puerto Rican Organization To Motivate Enlighten and Serve Addicts Inc | Clinic/Center | 1776 Clay Avenue, Bronx, NY 10457 | 2005-11-29 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1023626678 | Ra Psychiatric Np Services Pllc | Clinic/Center | 2722 Hering Ave, Bronx, NY 10469-5321 | 2020-07-20 |
| 1467076968 | B Well With Brooke LLC | Clinic/Center | 3750 Hudson Manor Ter Apt 1ae, Bronx, NY 10463-1167 | 2020-06-01 |
| 1366988362 | Postgraduate Center for Mental Health | Clinic/Center | 3525 Hull Ave, Bronx, NY 10467-1604 | 2017-01-13 |
| 1629440888 | Samaritan Daytop Village, Inc. | Clinic/Center | 2780 3rd Avenue, Bronx, NY 10455 | 2015-10-28 |
| 1215313184 | Safe Space Therapy Services, Lcsw, Pllc | Clinic/Center | 981 Morris Park Ave, Bronx, NY 10462-3766 | 2015-08-03 |
| 1871974261 | Milestone Psychotherapy, Lcsw, PC | Clinic/Center | 2010 Williamsbridge Rd, 2nd Floor, Bronx, NY 10461-1603 | 2015-06-11 |
| 1023130580 | Our Lady of Mercy Mhc | Clinic/Center | 4401 Bx. Boulevard, Bronx, NY 10470 | 2007-04-04 |
| 1932231107 | Fordham Tremont Cmhc | Clinic/Center | 2021 Grandconcourse Ave, Bronx, NY 10469 | 2007-03-12 |
| 1710022330 | Argus Community, Inc. | Clinic/Center | 402 E 156th St, Bronx, NY 10455-1232 | 2007-02-21 |
| 1962593210 | Yeshiva University | Clinic/Center | 2527 Glebe Avenue, Bronx, NY 10461 | 2006-09-28 |
| Find all providers in BRONX | ||||
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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.