Organization Active NPI

Kew Gardens Sep Inc.

  • Home Health Agency
  • Fresh Meadows, NY
National Provider Identifier
1003357815
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KEW GARDENS SEP INC.
Practice address
15916 Union Tpke
Suite 308
Fresh Meadows, NY 11366-1954
Phone
(718) 263-5437
Fax
(718) 263-5444
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Leonid Yakubov, O.T.
Title
Exective Director
Phone
(718) 263-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15916 Union Tpke
Suite 308
Fresh Meadows, NY 11366-1954

Mailing address

159-16 Union Tpke
Suite 308
Fresh Meadows, NY 11375
Phone (718) 263-5437

National Provider Directory

National Provider Directory

Locations

15916 Union Tpke
Ste 308
Fresh Meadows, NY 11366
Phone (718) 263-5437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1003357815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159-16 UNION TPKE",
            "address_2": "SUITE 308",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-263-5437",
            "fax_number": "718-263-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15916 UNION TPKE",
            "address_2": "SUITE 308",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661954",
            "telephone_number": "718-263-5437",
            "fax_number": "718-263-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEW GARDENS SEP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "YAKUBOV",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-263-5437",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.