Organization Active NPI

New York Senior Daycare Center LLC

  • Adult Day Care Clinic/Center
  • Medford, NY
National Provider Identifier
1154284123
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NEW YORK SENIOR DAYCARE CENTER LLC
Practice address
3694 Horseblock Rd
Medford, NY 11763-2208
Phone
(646) 444-3646
NPI assigned
Dec 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Mohammad Alam
Title
Director
Phone
(347) 239-8037

Specialties & licenses 1

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

Addresses

Primary practice location

3694 Horseblock Rd
Medford, NY 11763-2208

Mailing address

3694 Horseblock Rd
Medford, NY 11763-2208
Phone (646) 444-3646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1154284123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 HORSEBLOCK RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632208",
            "telephone_number": "646-444-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HORSEBLOCK RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632208",
            "telephone_number": "646-444-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK SENIOR DAYCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-06",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "ALAM",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "347-239-8037"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.