Organization Active NPI

Jamaica Service Program for Older Adults

  • Adult Day Care Clinic/Center
  • Jamaica, NY
National Provider Identifier
1104203736
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JAMAICA SERVICE PROGRAM FOR OLDER ADULTS
Practice address
92-33 170TH Street
Jamaica, NY 11433
Phone
(718) 657-6540
NPI assigned
May 4, 2015
Last updated
May 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Ms. Beverly Collier
Title
Executive Director
Phone
(718) 657-6695

Specialties & licenses 1

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

Addresses

Primary practice location

92-33 170TH Street
Jamaica, NY 11433

Mailing address

92-47 165TH Street
Jamaica, NY 11433
Phone (718) 657-6500

National Provider Directory

National Provider Directory

Locations

9247 165th St
Jamaica, NY 11433

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1104203736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-47 165TH STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "718-657-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-33 170TH STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "718-657-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA SERVICE PROGRAM FOR OLDER ADULTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-657-6695",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.