Organization Active NPI

King David Center for Nursing and Rehabilitation Adhc

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1053460071
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
KING DAVID CENTER FOR NURSING AND REHABILITATION ADHC
Practice address
2266 Cropsey Ave
Brooklyn, NY 11214-5706
Phone
(718) 266-6100
Fax
(718) 363-2875
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Authorized official

Name
Connie Jaroslawicz
Title
Director of Operations
Phone
(718) 567-1000

Specialties & licenses 1

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

Addresses

Primary practice location

2266 Cropsey Ave
Brooklyn, NY 11214-5706

Mailing address

2266 Cropsey Ave
Brooklyn, NY 11214-5706
Phone (718) 266-6100

Other identifiers 1

IdentifierTypeStateIssuer
02104772MedicaidNH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1053460071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 CROPSEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145706",
            "telephone_number": "718-266-6100",
            "fax_number": "718-363-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 CROPSEY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145706",
            "telephone_number": "718-266-6100",
            "fax_number": "718-363-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DAVID CENTER FOR NURSING AND REHABILITATION ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "JAROSLAWICZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "718-567-1000"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02104772",
            "state": "NH"
        }
    ],
    "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 Jul 15, 2016; 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.