UPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER.
NPI 1417986340
Clinic/Center in New York, NY

Q: What is Upper Room Aids Ministry, Inc. Adult Day Health Care Center.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 02, 2006

169 W 133RD ST, NEW YORK, NY 10030(646) 762-4950(646) 762-4953 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2019, May 18, 2016, Mar 14, 2016 (3 updates tracked since 2016).

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About Upper Room Aids Ministry, Inc. Adult Day Health Care Center. NPPES

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

UPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER. (NPI 1417986340) is a healthcare organization registered as a clinic/center in New York, New York and active in the NPI registry since July 2006. The organization maintains a secondary practice location in New York and lists Tamisha Mcpherson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1417986340

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameUPPER ROOM AIDS MINISTRY, INC. ADULT DAY HEALTH CARE CENTER.

Location Address169 W 133RD STNew York, NY 10030-3301

Mailing Address306 Lenox Avenue, 3rd FloorNew York, NY 10027-4920 · (212) 803-2850 · Fax (212) 803-2899

Phone(646) 762-4950

Fax(646) 762-4953

Organization SubpartNo

Authorized OfficialTamisha McphersonExecutive Director · (212) 803-2850

Enumeration DateJuly 2, 2006

Last NPPES UpdateSeptember 5, 20193 updates tracked since enumeration

✔ NPI 1417986340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

169 W 133RD ST, New York, NY 10030

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Secondary Practice Location 1

Location 1123-125 West 124th StNew York, NY 10027-4920 · Phone (212) 531-1300 · Fax (212) 803-2899

Other Identifiers 3

Medicaid01741726NY

Other33/1040 AND 33/1041NY · Medicare Part A

OtherA100140369NY · Medicare Part B

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upper Room Aids Ministry, Inc. Adult Day Health Care Center. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 48 clinicians reassign Medicare billing to Upper Room Aids Ministry, Inc. Adult Day Health Care Center., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 35 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner23

Family Practice8

Clinical Social Worker6

Internal Medicine3

Podiatry2

Psychiatry2

Addiction Medicine1

Cardiovascular Disease (Cardiology)1

2 other specialties2

Nearest to this location (20)

See all 48

Victor Amobi, CRNP-PMH

Nurse Practitioner

NPI 1356532386

169 W 133RD ST
New York, NY 10030

(646) 762-4950

✔ PECOSSame address

Preston Wholley, LCSW

Clinical Social Worker

NPI 1326465360

169 W 133RD ST
New York, NY 10030

(646) 762-4950

✔ PECOSSame address

Maryam Naqvi, FNP

Nurse Practitioner

NPI 1356002216

169 W 133RD ST
New York, NY 10030

(646) 762-4950

✔ PECOSSame address

Nicole Roman, MSW

Clinical Social Worker

NPI 1003499948

169 W 133RD ST
New York, NY 10030

(646) 762-4950

✔ PECOSSame address

Farbod Raiszadeh, MD, PHD

Cardiovascular Disease (Cardiology)

NPI 1336404128

506 LENOX AVE
New York, NY 10037

(212) 939-4701

✔ PECOS✔ Accepts Medicare0.2 mi

Keith Robinson, FNP

Nurse Practitioner

NPI 1053574186

306 W 133RD ST
New York, NY 10030

(646) 762-4950

✔ PECOS✔ Accepts Medicare0.2 mi

Ketsia Guerrier

Nurse Practitioner

NPI 1881878866

306 MALCOLM X BLVD
New York, NY 10027

(212) 803-2850

✔ PECOS0.4 mi

Isabelle Adams, LCSW

Clinical Social Worker

NPI 1740891167

2090 ADAM CLAYTON POWELL JR BLVD
New York, NY 10027

(732) 403-5294

✔ PECOS0.4 mi

Vera Antonios, M.D

Internal Medicine

NPI 1386745883

123-125 WEST. 124TH STREET
New York, NY 10027

(212) 531-1300

✔ PECOS0.5 mi

Anthony Jabra, DPM

Podiatry

NPI 1104275940

53 E 124TH ST
New York, NY 10035

(212) 410-8100

✔ PECOS✔ Accepts Medicare0.6 mi

Tyson Boudreaux, MD

Psychiatry

NPI 1780831669

600 E 125TH ST MANHATTAN PSYCHIATRIC CENTER, DUNLAP 5B
New York, NY 10035

(646) 672-6052

✔ PECOS0.8 mi

Carlos Hernandez Torres, M.D.

Family Practice

NPI 1871723171

81 W 115TH ST
New York, NY 10026

(212) 426-0088

✔ PECOS✔ Accepts Medicare0.9 mi

Warren Stevens, LCSW

Clinical Social Worker

NPI 1902970452

676 RIVERSIDE DR SUITE 9C
New York, NY 10031

(646) 206-2263

✔ PECOS1.0 mi

Debra Narcisse, NP-C

Nurse Practitioner

NPI 1306039623

179 E 116TH ST 2ND FLOOR
New York, NY 10029

(212) 987-3707

✔ PECOS✔ Accepts Medicare1.1 mi

Jonathan Joseph, M.D.

Internal Medicine

NPI 1679531065

655 MORRIS AVE STE 2
Bronx, NY 10451

(347) 736-9046

✔ PECOS✔ Accepts Medicare1.2 mi

Miranda Veeser, NP

Nurse Practitioner

NPI 1972179182

5 E 98TH ST
New York, NY 10029

(212) 241-4299

✔ PECOS✔ Accepts Medicare1.8 mi

Yury Parra, M.D.

Family Practice

NPI 1992149769

1901 1ST AVE
New York, NY 10029

(212) 423-7639

✔ PECOS2.0 mi

Rafael Frias, M.D.

Family Practice

NPI 1023498599

871 PROSPECT AVE
Bronx, NY 10459

(718) 991-0605

✔ PECOS✔ Accepts Medicare2.3 mi

Wianna Frias

Clinical Social Worker

NPI 1437525953

915 WESCHESTER AVENUE
Bronx, NY 10459

(718) 764-1570

✔ PECOS2.5 mi

Seung Kang, MD

Addiction Medicine

NPI 1861698490

2015 GRAND CONCOURSE
Bronx, NY 10453

(718) 299-7295

✔ PECOS✔ Accepts Medicare3.3 mi

See all 48 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Upper Room Aids Ministry, Inc. Adult Day Health Care Center.'s NPI number?

The NPI number for Upper Room Aids Ministry, Inc. Adult Day Health Care Center. is 1417986340. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Upper Room Aids Ministry, Inc. Adult Day Health Care Center. located?

Upper Room Aids Ministry, Inc. Adult Day Health Care Center. is located at 169 W 133rd St, New York, NY 10030. The listed phone number is (646) 762-4950.

What is Upper Room Aids Ministry, Inc. Adult Day Health Care Center.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Upper Room Aids Ministry, Inc. Adult Day Health Care Center. enrolled in Medicare?

Yes. Upper Room Aids Ministry, Inc. Adult Day Health Care Center. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upper Room Aids Ministry, Inc. Adult Day Health Care Center.?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 10 Medicare specialties reassign their Medicare billing to Upper Room Aids Ministry, Inc. Adult Day Health Care Center.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (23), Family Practice (8) and Clinical Social Worker (6). Of these, 4 practice at this address and 35 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Upper Room Aids Ministry, Inc. Adult Day Health Care Center. was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.