Active NPI
Al Andalus Community Services of New York
- Adult Day Care Clinic/Center
- Staten Island, NY
National Provider Identifier
1285309849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- AL ANDALUS COMMUNITY SERVICES OF NEW YORK
- Practice address
- 3075 Richmond Ter
Staten Island, NY 10303-1303 - Phone
- (646) 339-1894
- NPI assigned
- Aug 14, 2021
- Last updated
- Sep 16, 2021
- 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
- Ahmad Hussein
- Title
- Cfo
- Phone
- (646) 339-1894
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3075 Richmond Ter
Staten Island, NY 10303-1303
Mailing address
19 Melba St
Staten Island, NY 10314-5334
Phone (646) 339-1894
National Provider Directory
National Provider DirectoryLocations
3075 Richmond Ter
Staten Island, NY 10303
Phone (646) 339-1894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631750400000",
"number": "1285309849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MELBA ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145334",
"telephone_number": "646-339-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 RICHMOND TER",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103031303",
"telephone_number": "646-339-1894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AL ANDALUS COMMUNITY SERVICES OF NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-14",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A",
"authorized_official_last_name": "HUSSEIN",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "646-339-1894"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"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 Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.