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NYCCC
NPI 1245612803
Preferred Provider Organization in Bronx, NY

Active since June 19, 2015
1000 WATERS PL, BRONX, NY 10461(718) 239-3600(718) 239-3669 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nyccc NPPES

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

NYCCC (NPI 1245612803) is a healthcare organization registered as a preferred provider organization in Bronx, New York and active in the NPI registry since June 2015. The organization lists Brenda Grier, Administrative Secretary 1, as its authorized official.

NPPES Registry Identity

NPI1245612803
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameNYCCC
Location Address1000 WATERS PLBronx, NY 10461-2701
Mailing Address1000 Waters PlaceBronx, NY 10461 · (718) 239-3600 · Fax (718) 239-3669
Phone(718) 239-3600
Fax(718) 239-3669
Organization SubpartNo
Authorized OfficialBrenda GrierAdministrative Secretary 1 · (718) 239-3745
Enumeration DateJune 19, 2015
✔ NPI 1245612803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in NY · 2084P0804X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1000 WATERS PL, Bronx, NY 10461
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Other Providers at the Same Location NPPES 10

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

FRANCES ELIZABETH LYSHAK-STELZER LCAT, CASAC
Art Therapist
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3710
NYS OFFICE OF MENTAL HEALTH
Clinic/Center (Adult Mental Health)
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3600
OMH BRONX DAY TREAT
Psychiatric Hospital
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3639
HARRY H TONG RPH
Pharmacist
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3797
RICHARD E LANE
Psychiatry & Neurology (Psychiatry)
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3600
IRINA KHETSURIANI
Psychiatry & Neurology (Psychiatry)
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3600
DR. ENOSAKHARE BERNARD OMORUYI M.D.,
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3639
LAURIE NUSSER RPH
Pharmacist
1000 WATERS PL
BRONX, NY 10461
Bronx County (718) 239-3856

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 Nyccc's NPI number?

The NPI number for Nyccc is 1245612803. It was assigned to this organization in the NPPES registry on June 19, 2015.

Where is Nyccc located?

Nyccc is located at 1000 Waters Pl, Bronx, NY 10461. The listed phone number is (718) 239-3600.

What is Nyccc's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Nyccc was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.