CEREBRAL PALSY ASSOC OF NYS
NPI 1235685686
Intermediate Care Facility, Intellectual Disabilities in Queens Village, NY

Active since August 26, 2016
21820 104TH AVE, QUEENS VILLAGE, NY 11429(718) 776-4190(718) 464-4849 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cerebral Palsy Assoc Of Nys NPPES

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

CEREBRAL PALSY ASSOC OF NYS (NPI 1235685686) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Queens Village, New York and active in the NPI registry since August 2016. The organization lists Thomas Mandelkow, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1235685686
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameUNITED CEREBRAL PALSY ASSOC OF NYS INC.
Location Address21820 104TH AVEQueens Village, NY 11429-2051
Mailing Address330 W 34th St Fl 15New York, NY 10001-2406 · (212) 947-5770 · Fax (212) 356-1348
Fax(718) 464-4849
Organization SubpartNo
Authorized OfficialThomas MandelkowChief Financial Officer · (212) 947-5770
Enumeration DateAugust 26, 2016
NPI 1235685686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
21820 104TH AVE, Queens Village, NY 11429

Other Names 1

Doing Business AsCerebral Palsy Assoc Of Nys

Other Providers at the Same Location NPPES

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

Intermediate Care Facility, Intellectual Disabilities
21820 104TH AVE
QUEENS VILLAGE, NY 11429

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 United Cerebral Palsy Assoc Of Nys Inc.'s NPI number?

The NPI number for United Cerebral Palsy Assoc Of Nys Inc. is 1235685686. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Cerebral Palsy Assoc Of Nys.

Where is United Cerebral Palsy Assoc Of Nys Inc. located?

United Cerebral Palsy Assoc Of Nys Inc. is located at 21820 104th Ave, Queens Village, NY 11429. The listed phone number is (718) 776-4190.

What is United Cerebral Palsy Assoc Of Nys Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for United Cerebral Palsy Assoc Of Nys Inc. was last updated on August 26, 2016. 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.