Organization Active NPI

New Age Adult Day Care

  • Preferred Provider Organization
  • Bronx, NY
National Provider Identifier
1245575968
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
NEW AGE ADULT DAY CARE
Practice address
2287 Jerome Avenue
Bronx, NY 10468
Phone
(646) 732-3702
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Mr. Igor Tsimerman
Title
Executive Director
Phone
(646) 732-3702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

2287 Jerome Avenue
Bronx, NY 10468

Mailing address

2287 Jerome Avenue
Bronx, NY 10468
Phone (646) 732-3702

National Provider Directory

National Provider Directory

Locations

2287 Jerome Ave
Bronx, NY 10468
Phone (646) 732-3702

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1245575968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 JEROME AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "646-732-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2287 JEROME AVENUE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10468",
            "telephone_number": "646-732-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "TSIMERMAN",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "646-732-3702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.