MULTIPLE SCLEROSIS CARE CENTER , NPI 1215096110 — NEW YORK (NY)

NPI 1215096110

13+ Years Experience Organization

MULTIPLE SCLEROSIS CARE CENTER

12.06.2006
PROVIDER ENUMERATION DATE
07.08.2007
LAST UPDATE DATE
1215096110
NPI NUMBER

About MULTIPLE SCLEROSIS CARE CENTER

MULTIPLE SCLEROSIS CARE CENTER is a provider established in NEW YORK, NY. The NPI number of MULTIPLE SCLEROSIS CARE CENTER is 1215096110 and was assigned on 12.06.2006. The practitioners primary taxonomy code is: 283X00000X with license number: 241042 NY .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100033804
  • Address: 301 E 17TH ST

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1215096110
  • Phone : 2125986305
  • Postalcode : 100033804
  • Address : 301 E 17TH ST

Additional identifiers

  • Identifier: BK9939402
  • Code / Type : 1 - other
  • Identifier state : NY
  • Identifier issuer: DEA

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 241042
  • Code / Type : 1 - other
  • Identifier state : NY
  • Identifier issuer : NY LICENSE

Provider taxonomy - Rehabilitation Hospital

  • Taxonomy code: 283X00000X
  • License number: 241042
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

Contacts:

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  • MULTIPLE SCLEROSIS CARE CENTER
  • Address : 301 E 17TH ST
  • Region : NEW YORK, NY
  • NPI : 1215096110
  • Phone : 2125986305
  • Postalcode : 100033804

Authorized official :

{:AUTHORIZED_OFFICIAL_FIRST_NAME:} {:AUTHORIZED_OFFICIAL_MIDDLE_NAME:} {:AUTHORIZED_OFFICIAL_LAST_NAME:}
  • Phone : 2125986305
  • Title or position : FELLOW
  • Credentials : MD

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address301 E 17TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100033804
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2125986305
The telephone number associated with the location address of the provider being identified.
NPI1215096110
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1283X00000X
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Provider Enumeration Date12.06.2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.08.2007
The date that a record was last updated or changed.
Entity TypeOrganization
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MULTIPLE SCLEROSIS CARE CENTER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address301 E 17TH ST
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100033804
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Authorized Official Last NameKISTER
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameILYA
The first name of the authorized official
Authorized Official Title or PositionFELLOW
The title or position of the authorized official
Authorized Official Credential TextMD
Authorized Official Credential Text
Authorized Official Telephone Number2125986305
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code #1283X00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Rehabilitation Hospital
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Provider License Number 1241042
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1BK9939402
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1NY
Other Provider Identifier State #1
Other Provider Identifier Issuer 1DEA
Other Provider Identifier Issuer #1
Other Provider Identifier 2241042
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2NY
Other Provider Identifier State #2
Other Provider Identifier Issuer 2NY LICENSE
Other Provider Identifier Issuer #2
X

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