Organization Active NPI

Social Wellness, Inc.

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1013287382
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SOCIAL WELLNESS, INC.
Practice address
2410 Glenwood Rd
Brooklyn, NY 11210-1148
Phone
(347) 385-7365
Fax
(800) 796-6640
NPI assigned
Jan 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Ejiro Ajueyitsi
Title
Partner
Phone
(347) 385-7365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2410 Glenwood Rd
Brooklyn, NY 11210-1148

Mailing address

2410 Glenwood Rd
Brooklyn, NY 11210-1148
Phone (347) 385-7365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1013287382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101148",
            "telephone_number": "347-385-7365",
            "fax_number": "800-796-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101148",
            "telephone_number": "347-385-7365",
            "fax_number": "800-796-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "AJUEYITSI",
        "authorized_official_first_name": "EJIRO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "347-385-7365"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.