Organization Active NPI

Functional Care Inc

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1447526090
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0126391 Issued in NY
Legal business name
FUNCTIONAL CARE INC
Practice address
8894 18TH Ave
Brooklyn, NY 11214-6002
Phone
(646) 642-3353
Fax
(718) 331-3353
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Minh DuongNPI 1023268455
Title
Occupational Therapist
Phone
(646) 642-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 0126391 NY Primary

Addresses

Primary practice location

8894 18TH Ave
Brooklyn, NY 11214-6002

Mailing address

8894 18TH Ave
Brooklyn, NY 11214-6002
Phone (646) 642-3353

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1447526090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8894 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146002",
            "telephone_number": "646-642-3353",
            "fax_number": "718-331-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8894 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146002",
            "telephone_number": "646-642-3353",
            "fax_number": "718-331-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "646-642-3353"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0126391",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 28, 2012; 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.