Organization Active NPI

Shloime Rubin

Doing business as New Fordham Arms home for adults

  • Assisted Living Facility
  • Bronx, NY
National Provider Identifier
1477742203
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
020F815 Issued in NY
Legal business name
SHLOIME RUBIN
Doing business as
New Fordham Arms home for adults
Practice address
2915 Williamsbridge Rd
Bronx, NY 10467-8603
Phone
(718) 655-3433
Fax
(718) 654-4307
NPI assigned
Oct 17, 2007
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Sandra Beer
Title
Comptroller
Phone
(718) 655-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 020F815 NY Primary

Addresses

Primary practice location

2915 Williamsbridge Rd
Bronx, NY 10467-8603

Mailing address

2915 Williamsbridge Rd
Bronx, NY 10467-8603
Phone (718) 655-3433

Other identifiers 1

IdentifierTypeStateIssuer
02277278MedicaidNY

Other names 1

  • New Fordham Arms home for adults Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1477742203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678603",
            "telephone_number": "718-655-3433",
            "fax_number": "718-654-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 WILLIAMSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678603",
            "telephone_number": "718-655-3433",
            "fax_number": "718-654-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHLOIME RUBIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-655-3433"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "020F815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Fordham Arms home for adults",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.