NPIMap

Organization Active NPI

Lasante Health Center Inc

  • Urgent Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1396441622
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
LASANTE HEALTH CENTER INC
Practice address
672 Parkside Ave
Brooklyn, NY 11226-2298
Phone
(718) 246-5700
NPI assigned
Feb 7, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LASANTE HEALTH CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Gedalya Blumenfrucht
Title
Cfo
Phone
(718) 246-5700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

672 Parkside Ave
Brooklyn, NY 11226-2298

Mailing address

672 Parkside Ave
Brooklyn, NY 11226-2298

Other identifiers 1

IdentifierTypeStateIssuer
04644657MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Lasante Health Center Inc6 organizations share this tax ID, including this one
Part of
Lasante Health Center Inc

Other organizations with this tax ID 5

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFDAD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1396441622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 PARKSIDE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 PARKSIDE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112262298",
            "telephone_number": "718-246-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASANTE HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LASANTE HEALTH CENTER INC",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "BLUMENFRUCHT",
        "authorized_official_first_name": "GEDALYA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-246-5700"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04644657",
            "state": "NY"
        }
    ],
    "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 Feb 21, 2023; 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.