Organization Active NPI

Madison Adult Center

  • Adult Day Care Clinic/Center
  • New York, NY
National Provider Identifier
1053754861
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MADISON ADULT CENTER
Practice address
1755 Madison Ave
New York, NY 10029-1031
Phone
(212) 828-3166
Fax
(212) 828-3166
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Jie Ru Zhao
Title
President
Phone
(917) 886-8326

Specialties & licenses 1

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

Addresses

Primary practice location

1755 Madison Ave
New York, NY 10029-1031

Mailing address

1755 Madison Ave
New York, NY 10029-1031
Phone (212) 828-3166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1053754861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291031",
            "telephone_number": "212-828-3166",
            "fax_number": "212-828-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291031",
            "telephone_number": "212-828-3166",
            "fax_number": "212-828-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON ADULT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "JIE RU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-886-8326"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.