UNITED CEREBRAL PALSY ASSOC OF NYS (NPI# 1639292774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639292774 |
| Entity Type | Organization |
| Organization Name | UNITED CEREBRAL PALSY ASSOC OF NYS |
| Other Organization Name | CEREBRAL PALSY OF NYS |
| Practice Address |
110-35 164th Place Jamaica NY 11433 |
| Mailing Address |
330 W 34th St # 15fl New York NY 10001-2406 |
| Practice Telephone | 7186583307 |
| Mailing Telephone | 2129475770 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-09-21 |
| Authorized Official Name | THOMAS MANDELKOW (EXEC VICE PRES) |
| Authorized Official Telephone | 2129475770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01750494 | 05 |
| Other Name | Type Code |
|---|---|
| Cerebral Palsy of NYS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932322518 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 35 Sharrotts Rd, Staten Island, NY 10309-1953 | 2007-04-11 |
| 1891817623 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 2918 21st St, Astoria, NY 11102-3631 | 2007-04-04 |
| 1588786230 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 4557 211th St, Bayside, NY 11361-3249 | 2007-04-04 |
| 1518089390 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 64 Madsen Ave, Staten Island, NY 10309-2608 | 2007-04-04 |
| 1972625713 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 1065 Revere Ave, Bronx, NY 10465-1916 | 2007-04-04 |
| 1548382393 | United Cerebral Palsy Assoc of Nys | Intermediate Care Facility, Mentally Retarded | 17 Scarboro Ave, Staten Island, NY 10305-3118 | 2007-04-04 |
| Street Address |
110-35 164TH PLACE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849710 | Smana Seradieu | Social Worker | 109 16 176th Street Jamaica, 109 16 176th Street Jamaica, Queens, NY 11433 | 2020-07-30 |
| 1336610716 | Dian Ann Scarlet | Specialist | 89-28 Merrick Blvd, Jamaica, NY 11433 | 2018-12-11 |
| 1609368158 | Angela I Frazier | Counselor | 168-20 Liberty Avenue #2, Jamaica, NY 11433 | 2018-05-31 |
| 1346759453 | Cecilia Vellozo | Speech-Language Pathologist | P.s. 48 William Wordsworth School, 10829 155th St, Jamaica, NY 11433 | 2017-09-21 |
| 1942723648 | Cheron Johnson | Behavior Technician | 107-29 172nd Street, Jamaica, NY 11433 | 2017-07-25 |
| 1093237208 | Bal & Dhamija Inc | Pharmacy | 107-45 Guy Brewer Blvd, Jamaica, NY 11433 | 2017-07-10 |
| 1962931311 | Emily Sheppard | Behavioral Analyst | 17326 113 Ave, Jamaica, NY 11433 | 2017-06-08 |
| 1497288310 | Ana Martinez | Licensed Practical Nurse | 176-08 108 Road, Brooklyn, NY 11433 | 2017-04-07 |
| 1336680313 | Shirley Joseph-ross | Psychologist | 109-46 172nd Street, Jamaica, NY 11433 | 2017-03-10 |
| 1346787116 | Jennifer Jenine Griffith | Behavior Technician | 11307 175th St., Jamaica, NY 11433 | 2017-01-31 |
| Find all providers in zip 11433 | ||||
| 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 |
| 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 |
| 1487835096 | Nysarc Inc Nyc Chapter | Intermediate Care Facility, Mentally Retarded | 16120 89th Ave, Apt 3d, Jamaica, NY 11432-3901 | 2007-11-26 |
| 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.