86TH St Community Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

86TH ST COMMUNITY CENTER INC

Practice address

2502 86TH Street 4FL
New York, NY 11214

Phone

(718) 266-8887

Fax

(888) 533-2898

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Wenfeng Fan

Title

President

Phone

(718) 266-8887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1275205692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 86TH STREET 4FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 86TH STREET 4FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-266-8887",
            "fax_number": "888-533-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "86TH ST COMMUNITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2024-02-14",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "WENFENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-266-8887"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.