NPIMap

Organization Active NPI

Light 101, Inc.

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1043577828
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1974L001 Issued in NY
Legal business name
LIGHT 101, INC.
Practice address
1954 78TH St
2ND Floor
Brooklyn, NY 11214-1212
Phone
(718) 676-9181
Fax
(718) 676-9180
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mr. Alexander Margulis, MPH
Title
Administrator
Phone
(718) 676-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1974L001 NY Primary

Addresses

Primary practice location

1954 78TH St
2ND Floor
Brooklyn, NY 11214-1212

Mailing address

2528 E 17TH St
Apt 3C
Brooklyn, NY 11235-3516
Phone (718) 676-9181

National Provider Directory

National Provider Directory
Tax ID family
Light 101 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1043577828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 E 17TH ST",
            "address_2": "APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353516",
            "telephone_number": "718-676-9181",
            "fax_number": "718-676-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 78TH ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141212",
            "telephone_number": "718-676-9181",
            "fax_number": "718-676-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHT 101, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MARGULIS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-676-9181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1974L001",
            "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 Apr 18, 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.