Boulevard Adult Day Care of Flushing

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

BOULEVARD ADULT DAY CARE OF FLUSHING

Practice address

636 Louisiana Ave
Brooklyn, NY 11239-1526

Phone

(718) 557-0999

NPI assigned

Jun 26, 2017

Organization subpart

No

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

Authorized official

Name

Michael Marx

Title

Managing Member

Phone

(718) 380-8882

Specialties & licenses 1

Addresses

Tax ID family

Boulevard Adult Day Care of Flushing3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Boulevard Adult Day Care of Flushing

  • Adult Day Care Clinic/Center
  • Elmhurst, NY
  • NPI 1134583123
  NPD tax ID
• Boulevard Adult Day Care of Flushing

  • Adult Care Home Facility
  • Flushing, NY
  • NPI 1952641128
  NPD tax ID

Locations

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1346760899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 LOUISIANA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 LOUISIANA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391526",
            "telephone_number": "718-557-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD ADULT DAY CARE OF FLUSHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "MARX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-380-8882"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bough, MD
• Darel Bouhadana, D.M.D
• Lateshaw Bouie
• Nathalie Bouillon, LMSW
• Zakaria Boukhatem, DMD
• Germaine Boulin, LMSW
• Adly Zekry Boulos, DDS
• Georgios Bouloukakis, MD, MS
• Bishoy Ibrahim Boulus Elkoumes, MD
• Kourtney Lee Bouma

• Adult Day Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.