Organization Active NPI

Surf Manor Hfa

  • Bus
  • Brooklyn, NY
National Provider Identifier
1114138310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
BusTaxonomy code 347B00000X
Legal business name
SURF MANOR HFA
Practice address
2316 Surf Ave
Brooklyn, NY 11224-2113
Phone
(718) 996-8400
NPI assigned
May 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Abraham Lichtschein
Title
President
Phone
(718) 996-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Bus 347B00000X Primary

Addresses

Primary practice location

2316 Surf Ave
Brooklyn, NY 11224-2113

Mailing address

2316 Surf Ave
Brooklyn, NY 11224-2113

Other identifiers 1

IdentifierTypeStateIssuer
01915104MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114138310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242113",
            "telephone_number": "718-996-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURF MANOR HFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LICHTSCHEIN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-996-8400"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01915104",
            "state": "NY"
        }
    ],
    "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 Aug 22, 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.