Organization Active NPI

Palm Gardens Adult Day Care

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1477789782
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
PALM GARDENS ADULT DAY CARE
Practice address
615 Avenue C
Brooklyn, NY 11218-4101
Phone
(718) 633-3300
Fax
(718) 732-3243
NPI assigned
Jun 2, 2009
Last updated
Jun 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Mr. Shimon Lefkowitz
Title
Ceo
Phone
(718) 633-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

615 Avenue C
Brooklyn, NY 11218-4101

Mailing address

615 Avenue C
Brooklyn, NY 11218-4101
Phone (718) 633-3300

Other identifiers 1

IdentifierTypeStateIssuer
01539477MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Palm Gardens Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1477789782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 AVENUE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184101",
            "telephone_number": "718-633-3300",
            "fax_number": "718-732-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 AVENUE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184101",
            "telephone_number": "718-633-3300",
            "fax_number": "718-732-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM GARDENS ADULT DAY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "LEFKOWITZ",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-633-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01539477",
            "state": "NY"
        }
    ],
    "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 Jun 2, 2009; 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.