NPIMap

Organization Active NPI

Francis Defalco Dent CL Disb

  • Developmental Disabilities Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1235273202
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
FRANCIS DEFALCO DENT CL DISB
Practice address
11-29 Catherine STR
Brooklyn, NY 11211
Phone
(718) 388-5900
Fax
(718) 388-3927
NPI assigned
Feb 16, 2007
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
Donna Corrado
Title
Chief Operating Officer
Phone
(718) 722-6123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NY Primary

Addresses

Primary practice location

11-29 Catherine STR
Brooklyn, NY 11211

Mailing address

191 Joralemon St
9 FL
Brooklyn, NY 11201

Other identifiers 1

IdentifierTypeStateIssuer
00290822MedicaidNY

Other names 1

  • BFFY- DEFALCO DENTAL CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Bffyrockaway Mental HLTH SV32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235273202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 JORALEMON ST",
            "address_2": "9 FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "fax_number": "718-722-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-29 CATHERINE STR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-388-5900",
            "fax_number": "718-388-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCIS DEFALCO DENT CL DISB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "718-722-6123"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00290822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BFFY- DEFALCO DENTAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.