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GOTHAM
NPI 1114213824
Intermediate Care Facility, Mental Illness in New York, NY

Active since June 21, 2011CLIA 33D2114883 · Waiver
116 JOHN ST., NEW YORK, NY 10038(212) 385-0086 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gotham NPPES

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

GOTHAM (NPI 1114213824) is a healthcare organization registered as an intermediate care facility, mental illness in New York, New York and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Margaret Golden, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114213824
Entity TypeOrganization
Primary Taxonomy310500000X
Legal Business NameGOTHAM
Location Address116 JOHN ST.New York, NY 10038-3414
Mailing Address135 Watkins StBrooklyn, NY 11212-6712
Phone(212) 385-0086
Organization SubpartNo
Authorized OfficialMargaret GoldenExecutive Director · (212) 477-6100
Enumeration DateJune 21, 2011
✔ NPI 1114213824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code310500000X
License✔ Licensed in NY · 641372
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
116 JOHN ST., New York, NY 10038
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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 of Waiver 33D2114883

Gotham Per Diem Inc · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2114883
Laboratory TypeHome Health Agency
Certificate Effective DateJune 22, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Harry W. Berkowitz
Laboratory Phone(212) 477-6100
Laboratory LocationGotham Per Diem Inc90 Broad Street, Suite 1201, New York, NY 10004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Gotham's NPI number?

The NPI number for Gotham is 1114213824. It was assigned to this organization in the NPPES registry on June 21, 2011.

Where is Gotham located?

Gotham is located at 116 John St., New York, NY 10038. The listed phone number is (212) 385-0086.

What is Gotham's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.

Does Gotham hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2114883) 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 Gotham was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.