NPIMap

Organization Active NPI

Mamre Seventh-Day Adventist Church

  • Voluntary or Charitable Agency
  • Brooklyn, NY
National Provider Identifier
1053939223
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
MAMRE SEVENTH-DAY ADVENTIST CHURCH
Practice address
1623 Utica Ave
Brooklyn, NY 11234-1524
Phone
(718) 258-2716
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Desrene JamesNPI 1790303188
Title
Coordinator
Phone
(718) 954-1113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1623 Utica Ave
Brooklyn, NY 11234-1524

Mailing address

1623 Utica Ave
Brooklyn, NY 11234-1524
Phone (718) 258-2716

National Provider Directory

National Provider Directory

Locations

1623 Utica Ave
Brooklyn, NY 11234
Phone (718) 258-2716

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1053939223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341524",
            "telephone_number": "718-258-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341524",
            "telephone_number": "718-258-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMRE SEVENTH-DAY ADVENTIST CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DESRENE",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "718-954-1113"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "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 Jul 13, 2020; 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.