COMMUNITY ASSOCIATION OF PROGRESSIVE DOMINICANS, INC (NPI# 1629149125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629149125 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ASSOCIATION OF PROGRESSIVE DOMINICANS, INC |
| Other Organization Name | ACDP |
| Practice Address |
3940 Broadway Fl 2 New York NY 10032 |
| Mailing Address |
1776 Clay Ave Bronx NY 10457 |
| Practice Telephone | 2127815500 |
| Practice Fax Number | 2129276089 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | MR. MILTON DERIENZO (CHIEF FINANCIAL OFFICER) |
| 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) |
8819100A | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01962550 | 05 |
| Other Name | Type Code |
|---|---|
| ACDP | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | COMMUNITY ASSOCIATION OF PROGRESSIVE DOMINICANS, INC. | 300 East 175th Street, Bronx, Ny 10457 |
| Street Address |
3940 BROADWAY FL 2 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689221806 | Emanuel Cabreja | Social Worker | 3940 Broadway Fl 2, New York, NY 10032-1534 | 2019-08-22 |
| 1699327908 | Genesis Urena | Social Worker | 3940 Broadway Fl 2, New York, NY 10032-1534 | 2019-07-16 |
| 1790115947 | Altagracia Taveras | Registered Nurse | 3940 Broadway Fl 2, New York, NY 10032-1534 | 2013-11-24 |
| 1942533021 | Kenya Fernandez | Marriage & Family Therapist | 3940 Broadway Fl 2, New York, NY 10032-1534 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929123 | Culture of Wellness, LLC | Clinic/Center | 31 W 34th St # 7058, New York, NY 10001-3009 | 2020-10-13 |
| 1427673888 | S Jenny Klein Psyd LLC | Clinic/Center | 353 Lexington Ave # 301, New York, NY 10016-0941 | 2020-06-11 |
| 1881225217 | Relational Fulfillment Psychotherapy Lcsw Pllc | Clinic/Center | 352 7th Ave Rm 1005, New York, NY 10001-5021 | 2020-02-04 |
| 1447890629 | William Howard Critzman IIi | Clinic/Center | 7 W 30th St. 10th Floor, New York, NY 10001 | 2020-01-15 |
| 1154965077 | Patricia Berman, Lcsw, P.C. | Clinic/Center | 575 W End Ave Apt Grb, New York, NY 10024-2755 | 2019-11-04 |
| 1023664752 | Carrie Lynne Walsh | Clinic/Center | 7 W 30th St Fl 10, New York, NY 10001-4406 | 2019-08-19 |
| 1871147298 | Inzan Monica Rose | Clinic/Center | Blanton-peale Counseling Center, 7 West 30th Street, 9th Floor, New York, NY 10001 | 2019-07-25 |
| 1457838039 | Wave Counseling Lcsw | Clinic/Center | 112 W 34th St Fl 18, New York, NY 10120-0001 | 2018-07-25 |
| 1245745751 | Jl Counseling Services Lcsw P.C. | Clinic/Center | 8 W 126th St Fl 3, New York, NY 10027-3811 | 2017-12-06 |
| 1336659879 | Valerie Simon D/b/a The Inner Stage | Clinic/Center | 57 W 57th St Ste 704, New York, NY 10019-2802 | 2017-10-11 |
| Find all providers in NEW YORK | ||||
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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.