New Dorp 1 Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW DORP 1 INC

Practice address

6054 Amboy Rd
Staten Island, NY 10309-3128

Phone

(347) 838-6311

Fax

(347) 944-5922

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Khaddouj Elhattab, HHA

Title

Owner

Phone

(347) 698-8538

Specialties & licenses 1

Addresses

Other names 1

• home sweet home Doing business as

Locations

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1386985893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6054 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093128",
            "telephone_number": "347-838-6311",
            "fax_number": "347-944-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6054 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093128",
            "telephone_number": "347-838-6311",
            "fax_number": "347-944-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DORP 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "ELHATTAB",
        "authorized_official_first_name": "KHADDOUJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-698-8538",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "home sweet home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Home Health Agency in New York

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