Organization Active NPI

Rooted Community Care Inc

  • Meals Provider
  • Lynbrook, NY
National Provider Identifier
1396640470
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
ROOTED COMMUNITY CARE INC
Practice address
126 Walnut St
Lynbrook, NY 11563-2029
Phone
(917) 519-1151
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
MD Abubukar Siddique
Title
Owner
Phone
(917) 519-1151

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Lodging Provider 177F00000X NU
Local Education Agency (LEA) 251300000X NU
Meals Provider 174200000X NU Primary

Addresses

Primary practice location

126 Walnut St
Lynbrook, NY 11563-2029

Mailing address

126 Walnut St
Lynbrook, NY 11563-2029
Phone (917) 519-1151

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1396640470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WALNUT ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632029",
            "telephone_number": "917-519-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WALNUT ST",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632029",
            "telephone_number": "917-519-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTED COMMUNITY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUE",
        "authorized_official_first_name": "MD",
        "authorized_official_middle_name": "ABUBUKAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-519-1151"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.