Organization Active NPI

Energetic Adult Daycare Inc

  • Adult Day Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1073357968
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ENERGETIC ADULT DAYCARE INC
Practice address
35 New Dorp PLZ N
Staten Island, NY 10306-2943
Phone
(718) 300-8563
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Joanna Y Zeng
Title
President
Phone
(718) 300-8563

Specialties & licenses 1

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

Addresses

Primary practice location

35 New Dorp PLZ N
Staten Island, NY 10306-2943

Mailing address

35 New Dorp PLZ N
Staten Island, NY 10306-2943
Phone (718) 300-8563

National Provider Directory

National Provider Directory

Locations

35 New Dorp Plz N
Staten Island, NY 10306
Phone (718) 300-8563

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1073357968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEW DORP PLZ N",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062943",
            "telephone_number": "718-300-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NEW DORP PLZ N",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062943",
            "telephone_number": "718-300-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENERGETIC ADULT DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "ZENG",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-300-8563"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.