Five Star Adult Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

FIVE STAR ADULT CARE CENTER

Practice address

3420 2ND St
Oceanside, NY 11572-5204

Phone

(347) 209-8282

NPI assigned

Jul 12, 2022

Last updated

Jul 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sason Haimov Fuzailov

Title

President

Phone

(347) 209-8282

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1467186932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 2ND ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 2ND ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725204",
            "telephone_number": "347-209-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR ADULT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "FUZAILOV",
        "authorized_official_first_name": "SASON",
        "authorized_official_middle_name": "HAIMOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-209-8282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Podolsky Fiero, MD
• Sheila Finkelstein, PA-C
• Annette Fiorillo, DO,MS
• Erin Fitzpatrick, MS, RDN, CDN
• Peter Fitzpatrick, CRNA
• Miriam S Flaum, DO
• Cesar Florita, M.D.
• Ramata Fofana
• Melba Elena Folger
• Sylvia Fonseca, P.T.

• Adult Day Care Clinic/Center in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.