NPIMap

Organization Active NPI

Emmaus Center

  • Nursing Care Agency
  • Ridgewood, NY
National Provider Identifier
1437224607
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
7001364N Issued in NY
Legal business name
EMMAUS CENTER
Practice address
5925 67TH Ave
Ridgewood, NY 11385-4440
Phone
(718) 821-3723
Fax
(718) 821-3943
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven Reagan
Title
Administrator
Phone
(718) 345-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 7001364N NY Primary

Addresses

Primary practice location

5925 67TH Ave
Ridgewood, NY 11385-4440

Mailing address

50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone (718) 345-2273

Other identifiers 1

IdentifierTypeStateIssuer
01283105-05MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Emmaus Center3 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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437224607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SHEFFIELD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072420",
            "telephone_number": "718-345-2273",
            "fax_number": "718-485-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 67TH AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113854440",
            "telephone_number": "718-821-3723",
            "fax_number": "718-821-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMAUS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-345-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "7001364N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01283105-05",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.