Organization Active NPI

Al Andalus Community Services of New York

  • Adult Day Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1285309849
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.