NPIMap

Organization Active NPI

Carl Fenichel Community Services

  • Developmentally Disabled Services Day Training Agency
  • Brooklyn, NY
National Provider Identifier
1336354141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
098311-1 Issued in NY
Legal business name
CARL FENICHEL COMMUNITY SERVICES
Practice address
885 Rogers Ave
Brooklyn, NY 11226-4113
Phone
(718) 856-4300
Fax
(718) 856-4581
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Polizoes Polizos, M.D.
Title
Medical Director
Phone
(718) 856-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 098311-1 NY Primary

Addresses

Primary practice location

885 Rogers Ave
Brooklyn, NY 11226-4113

Mailing address

885 Rogers Ave
Brooklyn, NY 11226-4113
Phone (718) 856-4300

National Provider Directory

National Provider Directory
Tax ID family
Carl Fenichel Community Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

885 Rogers Ave
Brooklyn, NY 11226
Phone (718) 856-4300

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336354141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 ROGERS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264113",
            "telephone_number": "718-856-4300",
            "fax_number": "718-856-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 ROGERS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264113",
            "telephone_number": "718-856-4300",
            "fax_number": "718-856-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL FENICHEL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLIZOS",
        "authorized_official_first_name": "POLIZOES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-856-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "098311-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.