Organization Active NPI

Elbrus Adult Center

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1336575083
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ELBRUS ADULT CENTER
Practice address
1590 Ralph Ave
Brooklyn, NY 11236-3129
Phone
(917) 374-0760
Fax
(877) 282-6134
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Bella Ashurov
Title
President
Phone
(917) 374-0760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NY Primary

Addresses

Primary practice location

1590 Ralph Ave
Brooklyn, NY 11236-3129

Mailing address

7257 Bergen CT
2 Floor
Brooklyn, NY 11234-5857
Phone (917) 374-0760

National Provider Directory

National Provider Directory

Locations

1590 Ralph Ave
Brooklyn, NY 11236
Phone (917) 374-0760

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1336575083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 BERGEN CT",
            "address_2": "2 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345857",
            "telephone_number": "917-374-0760",
            "fax_number": "877-282-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363129",
            "telephone_number": "917-374-0760",
            "fax_number": "877-282-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBRUS ADULT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "ASHUROV",
        "authorized_official_first_name": "BELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-374-0760"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "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 Sep 25, 2013; 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.