SELF
NPI 1649599135
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bronx, NY

Q: What is Self's NPI number?

The NPI number for Self is 1649599135. It was assigned to this organization in the NPPES registry on May 23, 2010.

Q: What is Self's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Self was last updated on May 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 23, 2010

1965 LAFAYETTE AVE, APT. 1G, BRONX, NY 10473(718) 824-0605 Get Directions Write a Review

NPPES record last updated: May 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Self NPPES

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

SELF (NPI 1649599135) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Bronx, New York and active in the NPI registry since May 2010. The organization lists Gloria Z. Martin, Lpn, as its authorized official.

NPPES Registry Identity

NPI1649599135

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameSELF

Location Address1965 LAFAYETTE AVE, APT. 1GBronx, NY 10473-2502

Mailing Address1965 Lafayette Ave, Apt. 1gBronx, NY 10473-2502 · (718) 824-0605

Phone(718) 824-0605

Organization SubpartNo

Authorized OfficialGloria Z. MartinLpn · (347) 853-2849

Enumeration DateMay 23, 2010

✔ NPI 1649599135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

License✔ Licensed in NY · 273750-1

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1965 LAFAYETTE AVE, Bronx, NY 10473

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Other Providers at the Same Location NPPES

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

MISS GLORIA OMOH MARTIN RN

Registered Nurse

1965 LAFAYETTE AVE, APT 1G
BRONX, NY 10473

Bronx County (347) 994-5014

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 Self's NPI number?

The NPI number for Self is 1649599135. It was assigned to this organization in the NPPES registry on May 23, 2010.

Where is Self located?

Self is located at 1965 Lafayette Ave Apt. 1G, Bronx, NY 10473. The listed phone number is (718) 824-0605.

What is Self's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Self was last updated on May 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.