NPIMap

Organization Active NPI

Boulevard Adult Day Care of Flushing

  • Adult Day Care Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1134583123
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BOULEVARD ADULT DAY CARE OF FLUSHING
Practice address
4101 75TH St
Elmhurst, NY 11373-1851
Phone
(718) 887-9944
Fax
(718) 650-6011
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
David Marx
Title
Managing Member
Phone
(718) 887-9944

Specialties & licenses 1

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

Addresses

Primary practice location

4101 75TH St
Elmhurst, NY 11373-1851

Mailing address

4234 Saull St
Flushing, NY 11355-4543
Phone (718) 887-9944

National Provider Directory

National Provider Directory
Tax ID family
Boulevard Adult Day Care of Flushing3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1134583123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 SAULL ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554543",
            "telephone_number": "718-887-9944",
            "fax_number": "718-650-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 75TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731851",
            "telephone_number": "718-887-9944",
            "fax_number": "718-650-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD ADULT DAY CARE OF FLUSHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-887-9944"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.