Active NPI
Moffat Gardens Alp, Inc.
- Assisted Living Facility
- Brooklyn, NY
National Provider Identifier
1275946873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 331-S-009
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03356645 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.