Prospect Park Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7001338N Issued in NY

Legal business name

PROSPECT PARK NURSING HOME

Doing business as

Prospect Park Care Center, Inc.

Practice address

1455 Coney Island Ave
Brooklyn, NY 11230-4713

Phone

(718) 252-9800

Fax

(718) 951-6742

NPI assigned

Feb 26, 2007

Last updated

Nov 15, 2007By 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

Mr. Jack Feldman

Title

Asst. Adm.

Phone

(718) 252-9800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prospect Park Care Center, Inc. Doing business as

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1346376373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304713",
            "telephone_number": "718-252-9800",
            "fax_number": "718-951-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304713",
            "telephone_number": "718-252-9800",
            "fax_number": "718-951-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT PARK NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "ASST. ADM.",
        "authorized_official_telephone_number": "718-252-9800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001338N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect Park Care Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prospect Kids, LLC
• Prospect Lefferts Gardens Medical PC
• Prospect Medical Care of New York, P.C.
• Prospect Medical Group
• Prospect Park Medical Plaza PC
• Prospect Park Operating, LLC (Brooklyn Center for Rehabilitation and Residential Health Care)
• Prospect Park Psychiatry PLLC
• Prospect Psychology LLC
• Prosper Applied Behavior Analysis PLLC
• Prosper Pediatrics

• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.