COVENANT HOUSE
NPI 1053588988
Clinic/Center in New York, NY

Q: What is Under 21's NPI number?

The NPI number for Under 21 is 1053588988. It was assigned to this organization in the NPPES registry on May 9, 2008. The provider is doing business as Covenant House.

Q: What is Under 21's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Under 21 was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2008CLIA 33D0909992 · Microscopy

460 W 41ST, NEW YORK, NY 10036(212) 613-0300(212) 268-2832 Get Directions Write a Review

NPPES record last updated: June 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Covenant House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT HOUSE (NPI 1053588988) is a healthcare organization registered as a clinic/center in New York, New York and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists David J Davis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1053588988

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameUNDER 21

Location Address460 W 41STNew York, NY 10036

Mailing Address460 W 41stNew York, NY 10036 · (212) 613-0300 · Fax (212) 268-2832

Phone(212) 613-0300

Fax(212) 268-2832

Organization SubpartNo

Authorized OfficialDavid J DavisMedical Director · (212) 613-0300

Enumeration DateMay 9, 2008

Last NPPES UpdateJune 9, 2017

✔ NPI 1053588988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

460 W 41ST, New York, NY 10036

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Other Names 1

Doing Business AsCovenant House

Other Identifiers 1

Medicaid00733826NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0909992

Covenant House Health Services Department · New York, NY

Active · expires Mar 26, 2027

CLIA Number33D0909992

Laboratory TypeCommunity Clinic

Certificate Effective DateDecember 22, 1995

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorNathan B. Gammill

Laboratory Phone(212) 613-0315

Laboratory LocationCovenant House Health Services Department460 W 41st Street, New York, NY 10036

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Under 21's NPI number?

The NPI number for Under 21 is 1053588988. It was assigned to this organization in the NPPES registry on May 9, 2008. The provider is doing business as Covenant House.

Where is Under 21 located?

Under 21 is located at 460 W 41st, New York, NY 10036. The listed phone number is (212) 613-0300.

What is Under 21's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Under 21 hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0909992) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Under 21 was last updated on June 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.