NPIMap

Organization Active NPI

A Friendly Face Akademy Corp.

  • Clinic/Center
  • Staten Island, NY
National Provider Identifier
1275025348
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
A FRIENDLY FACE AKADEMY CORP.
Practice address
1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923
Phone
(718) 698-1300
Fax
(917) 677-8601
NPI assigned
Jun 4, 2018
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Mrs. Ella Goldin
Title
Cfo
Phone
(718) 698-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923

Mailing address

1887 Richmond Ave Ste 5
Staten Island, NY 10314-3923
Phone (718) 698-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220003584 NY Part B Supplier - Clinic/Group Practice 3779927553 Receives reassigned benefits from 10 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory
Tax ID family
A Friendly Face Akademy Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1275025348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-698-1300",
            "fax_number": "917-677-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE STE 5",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-698-1300",
            "fax_number": "917-677-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FRIENDLY FACE AKADEMY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-698-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.