Madison York Rego Park LLC Dba Madison York Alp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

590-F-195 Issued in NY

Legal business name

MADISON YORK REGO PARK LLC DBA MADISON YORK ALP

Practice address

61-80 Woodhaven Blvd.
Rego Park, NY 11374-2742

Phone

(718) 446-4300

Fax

(718) 899-8126

NPI assigned

Jul 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tibor Klein

Title

Member

Phone

(718) 446-7900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tibor Klein DBA Madison York Alp Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1407054158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61-80 WOODHAVEN BLVD.",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742742",
            "telephone_number": "718-446-4300",
            "fax_number": "718-899-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61-80 WOODHAVEN BLVD.",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742742",
            "telephone_number": "718-446-4300",
            "fax_number": "718-899-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON YORK REGO PARK LLC DBA MADISON YORK ALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-04",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "TIBOR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-446-7900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "590-F-195",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "590 F 320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01448264",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tibor Klein DBA Madison York Alp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.