NYC DEPT OF HEALTH & MENTAL HYGIENE MOTT HAVEN CONNECT CMCM
NPI 1104872506
Clinic/Center - Community Health in Bronx, NY

Active since May 26, 2006
1309 FULTON AVENUE, NYCDOHMH MOTT HAVEN CONNECT CMCM, BRONX, NY 10456(718) 367-2450(718) 367-5112 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nyc Dept Of Health & Mental Hygiene Mott Haven Connect Cmcm NPPES

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

NYC DEPT OF HEALTH & MENTAL HYGIENE MOTT HAVEN CONNECT CMCM (NPI 1104872506) is a healthcare organization registered as a community health in Bronx, New York and active in the NPI registry since May 2006. The organization lists Michael James Smook, Administrative Mgr 3d Party Revenue, as its authorized official.

NPPES Registry Identity

NPI1104872506
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameNYCDOHMH MOTTHYN CONNECT CMCM
Location Address1309 FULTON AVENUE, NYCDOHMH MOTT HAVEN CONNECT CMCMBronx, NY 10456-2403
Mailing Address125 Worth Street, Nycdohmh Div Of Disease Control Rm 901 Box 22New York, NY 10004-4006 · (212) 442-8468 · Fax (212) 442-8452
Fax(718) 367-5112
Organization SubpartNo
Authorized OfficialMichael James SmookAdministrative Mgr 3d Party Revenue · (212) 442-5468
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1104872506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
License Licensed in NY · 01234413026
1309 FULTON AVENUE, Bronx, NY 10456

Other Names 1

Other NameNyc Dept Of Health & Mental Hygiene Mott Haven Connect Cmcm

Other Identifiers 1

Medicaid01234413NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Public Health, State or Local)
1309 FULTON AVENUE, NYCDOHMH MORRISANIA DHC
BRONX, NY 10456

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 Nycdohmh Motthyn Connect Cmcm's NPI number?

The NPI number for Nycdohmh Motthyn Connect Cmcm is 1104872506. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is also known as Nyc Dept Of Health & Mental Hygiene Mott Haven Connect Cmcm.

Where is Nycdohmh Motthyn Connect Cmcm located?

Nycdohmh Motthyn Connect Cmcm is located at 1309 Fulton Avenue Nycdohmh Mott Haven Connect Cmcm, Bronx, NY 10456. The listed phone number is (718) 367-2450.

What is Nycdohmh Motthyn Connect Cmcm's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Nycdohmh Motthyn Connect Cmcm was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.