OrganizationActive
Fordham Tremont
NPI 1215190822 · Case Management Agency · Bronx, NY
Provider details
- NPI number
- 1215190822
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lydia Riveria, Director(718) 960-0200
- License
- 13174012 (NY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2021 Grand Concourse
Fordham Tremont - Lais Program
Bronx, NY 10453-4304
Phone: (718) 960-0200
Street-level locationGet directions
Mailing address
2021 Grand Concourse
Bronx, NY 10453-4304
Other names (DBA / former)
- Former legal business name
- Lais Program
Registry dates
- Enumerated
- 2008-07-03
- Last updated
- 2008-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.