Organization Active NPI

All City Family Healthcare Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1215939186
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7001285R Issued in NY
Legal business name
ALL CITY FAMILY HEALTHCARE CENTER, INC.
Practice address
3632 Nostrand Ave
Ground Floor
Brooklyn, NY 11229-5303
Phone
(718) 332-4409
Fax
(718) 332-4472
NPI assigned
Aug 11, 2005
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Mr. Nasser F Hassan
Title
President
Phone
(718) 332-4409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7001285R NY Primary

Addresses

Primary practice location

3632 Nostrand Ave
Ground Floor
Brooklyn, NY 11229-5303

Mailing address

3632 Nostrand Ave
Ground Floor
Brooklyn, NY 11229-5303
Phone (718) 332-4409

Other identifiers 1

IdentifierTypeStateIssuer
02517462MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040807000248 NY Part B Supplier - Ambulatory Surgical Center 2961303060 Practice locations: Brooklyn, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
All City Family Healthcare Center IncCCN 33C0001077
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1060394All City Family Healthcare Center Inc3632 Nostrand Ave - 1St Floor, Brooklyn, NY 11229Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3632 Nostrand Ave
Ste 1
Brooklyn, NY 11229
Phone (718) 332-4409

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1215939186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 NOSTRAND AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295303",
            "telephone_number": "718-332-4409",
            "fax_number": "718-332-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 NOSTRAND AVE",
            "address_2": "GROUND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295303",
            "telephone_number": "718-332-4409",
            "fax_number": "718-332-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CITY FAMILY HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "NASSER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-4409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "7001285R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02517462",
            "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 Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.