Organization Active NPI

Bedford Health & Wellness LLC

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1265806541
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BEDFORD HEALTH & WELLNESS LLC
Practice address
390 Nostrand Ave
Lower Level
Brooklyn, NY 11216-1478
Phone
(917) 304-8015
Fax
(212) 202-6384
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Sonny Pham
Title
Owner
Phone
(917) 304-8015

Specialties & licenses 1

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

Addresses

Primary practice location

390 Nostrand Ave
Lower Level
Brooklyn, NY 11216-1478

Mailing address

160-30 78 Ave
Fresh Meadows, NY 11366
Phone (917) 304-8015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1265806541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160-30 78 AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11366",
            "telephone_number": "917-304-8015",
            "fax_number": "212-202-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NOSTRAND AVE",
            "address_2": "LOWER LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112161478",
            "telephone_number": "917-304-8015",
            "fax_number": "212-202-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-304-8015"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2015; 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.