NPIMap

Organization Active NPI

Menorah Home and Hospital Adult Day Program

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1487781373
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
7001376N Issued in NY
Legal business name
MENORAH HOME AND HOSPITAL ADULT DAY PROGRAM
Practice address
6202 16TH Ave # 12
Brooklyn, NY 11204-2701
Phone
(718) 621-3600
Fax
(718) 621-1280
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Alexander Balko
Title
Sr. VP Chief Financial Officer
Phone
(718) 491-7221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 7001376N NY Primary

Addresses

Primary practice location

6202 16TH Ave # 12
Brooklyn, NY 11204-2701

Mailing address

6323 7TH Ave
Brooklyn, NY 11220-4742
Phone (718) 630-2510

Other identifiers 1

IdentifierTypeStateIssuer
00399986MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Menorah Home and Hospital Adult Day Program4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6202 16th Ave
#12
Brooklyn, NY 11204
Phone (718) 621-3600

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1487781373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204742",
            "telephone_number": "718-630-2510",
            "fax_number": "718-759-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 16TH AVE # 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042701",
            "telephone_number": "718-621-3600",
            "fax_number": "718-621-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENORAH HOME AND HOSPITAL ADULT DAY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "SR. VP CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-491-7221"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7001376N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00399986",
            "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 Nov 10, 2014; 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.