Emergency Training Center of NJ & Ny LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EMERGENCY TRAINING CENTER OF NJ & NY LLC

Practice address

1622 New York Ave
Brooklyn, NY 11210-3345

Phone

(718) 395-6771

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Fenelus

Title

Business Owner

Phone

(929) 319-5634

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1285482141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103345",
            "telephone_number": "718-395-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103345",
            "telephone_number": "718-395-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY TRAINING CENTER OF NJ & NY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "FENELUS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "929-319-5634"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.