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NPI 1629306055 · Substance Use Disorder Rehabilitation Clinic/Center · New York, NY
Provider details
- NPI number
- 1629306055
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- George Pagan, Counselor(212) 679-4960
- License
- 5542 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
500 8th Ave Rm 906
New York, NY 10018-4190
Phone: (212) 679-4960
Street-level locationGet directions
Mailing address
500 8th Ave Rm 906
New York, NY 10018-4190
Registry dates
- Enumerated
- 2009-11-23
- Last updated
- 2009-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.