Organization Active NPI

Jumbo Senior Program Inc

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1043174121
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JUMBO SENIOR PROGRAM INC
Practice address
859 57TH St FL 1
Brooklyn, NY 11220-6054
Phone
(917) 337-0282
Fax
(718) 210-2755
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Lianmei Lin
Title
Owner
Phone
(646) 306-3355

Specialties & licenses 1

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

Addresses

Primary practice location

859 57TH St FL 1
Brooklyn, NY 11220-6054

Mailing address

859 57TH St FL 1
Brooklyn, NY 11220-6054
Phone (917) 337-0282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1043174121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 57TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206054",
            "telephone_number": "917-337-0282",
            "fax_number": "718-210-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 57TH ST FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112206054",
            "telephone_number": "917-337-0282",
            "fax_number": "718-210-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMBO SENIOR PROGRAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "LIANMEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-306-3355"
    },
    "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 Dec 12, 2025; 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.