Organization Active NPI

Medarex Inc.

  • In Home Supportive Care Agency
  • Brooklyn, NY
National Provider Identifier
1073056321
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MEDAREX INC.
Practice address
145 Highlawn Ave
Brooklyn, NY 11223-2635
Phone
(718) 266-4500
NPI assigned
Nov 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Mr. Gabriel Boter
Title
President
Phone
(917) 915-3494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

145 Highlawn Ave
Brooklyn, NY 11223-2635

Mailing address

58 W 58TH St
Ap. 20C
New York, NY 10019-2502
Phone (917) 915-3494

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1073056321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 W 58TH ST",
            "address_2": "AP. 20C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192502",
            "telephone_number": "917-915-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HIGHLAWN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232635",
            "telephone_number": "718-266-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAREX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "BOTER",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-915-3494",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive 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 Nov 18, 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.