DIRECT TOTAL MAP
NPI 1194055939
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Flushing, NY

Active since December 29, 2009CLIA 33D0701727 · Waiver
13665 37TH AVE, FLUSHING, NY 11354(833) 252-2737 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Direct Total Map NPPES

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

DIRECT TOTAL MAP (NPI 1194055939) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Flushing, New York and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Erin Liberti, Vp. Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1194055939
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameCENTERLIGHT HEALTHCARE, INC.
Location Address13665 37TH AVEFlushing, NY 11354-4110
Mailing Address13665 37th AveFlushing, NY 11354-4110 · (833) 252-2737
Organization SubpartNo
Authorized OfficialErin LibertiVp. Provider Relations · (917) 828-7701
Enumeration DateDecember 29, 2009
Last NPPES UpdateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
NPI 1194055939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code251T00000X
Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

Also ListedHealth Maintenance OrganizationTaxonomy 302R00000X
13665 37TH AVE, Flushing, NY 11354

Other Names 1

Other NameDirect Total Map

Other Identifiers 1

Medicaid03171946NY

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 33D0701727

Centerlight Healthcare Diagnostic And Treatment Center · Flushing, NY
Active · expires Mar 26, 2027
CLIA Number33D0701727
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jun M. Mitsumoto
Laboratory Phone(718) 515-8600
Laboratory LocationCenterlight Healthcare Diagnostic And Treatment Center136-65 37th Avenue, Flushing, NY 11354
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Adult Health)
13665 37TH AVE
FLUSHING, NY 11354
Occupational Therapist
13665 37TH AVE, CENTER LIGHT PACE CENTER
FLUSHING, NY 11354
Health Maintenance Organization
13665 37TH AVE
FLUSHING, NY 11354
Occupational Therapist
13665 37TH AVE
FLUSHING, NY 11354
Occupational Therapist
13665 37TH AVE
FLUSHING, NY 11354
Nurse Practitioner (Family)
13665 37TH AVE
FLUSHING, NY 11354
Nurse Practitioner (Family)
13665 37TH AVE
FLUSHING, NY 11354
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
13665 37TH AVE
FLUSHING, NY 11354

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 Centerlight Healthcare, Inc.'s NPI number?

The NPI number for Centerlight Healthcare, Inc. is 1194055939. It was assigned to this organization in the NPPES registry on December 29, 2009. The provider is also known as Direct Total Map.

Where is Centerlight Healthcare, Inc. located?

Centerlight Healthcare, Inc. is located at 13665 37th Ave, Flushing, NY 11354. The listed phone number is (833) 252-2737.

What is Centerlight Healthcare, Inc.'s specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Centerlight Healthcare, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0701727) 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 Centerlight Healthcare, Inc. was last updated on September 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.