Organization Active NPI

Moffat Gardens Alp, Inc.

  • Assisted Living Facility
  • Brooklyn, NY
National Provider Identifier
1275946873
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
331-S-009 Issued in NY
Legal business name
MOFFAT GARDENS ALP, INC.
Practice address
22 Moffat St.
Administrative Suite First Floor
Brooklyn, NY 11207
Phone
(718) 676-6130
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Mrs. Barbara Jean McFadden, RN
Title
President / C.E.O.
Phone
(718) 928-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 331-S-009 NY Primary

Addresses

Primary practice location

22 Moffat St.
Administrative Suite First Floor
Brooklyn, NY 11207

Mailing address

22 Moffat St.
Administrative Suite First Floor
Brooklyn, NY 11207
Phone (718) 676-6130

Other identifiers 1

IdentifierTypeStateIssuer
03356645MedicaidNY

National Provider Directory

National Provider Directory

Locations

22 Moffat St
Ste 1
Brooklyn, NY 11207
Phone (718) 676-6130

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1275946873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MOFFAT ST.",
            "address_2": "ADMINISTRATIVE SUITE FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-676-6130",
            "fax_number": "866-734-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MOFFAT ST.",
            "address_2": "ADMINISTRATIVE SUITE FIRST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "718-676-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOFFAT GARDENS ALP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT / C.E.O.",
        "authorized_official_telephone_number": "718-928-3501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "331-S-009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03356645",
            "state": "NY"
        }
    ],
    "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 Jun 11, 2014; 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.