Boulevard Alp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

9448L001 Issued in NY

Legal business name

BOULEVARD ALP

Practice address

7161 159TH St
Flushing, NY 11365-4123

Phone

(718) 969-7500

Fax

(718) 969-8128

NPI assigned

Jul 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Howard Neufeld, MSW

Title

Administrator

Phone

(718) 969-7500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1508056334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7161 159TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654123",
            "telephone_number": "718-969-7500",
            "fax_number": "718-969-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7161 159TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113654123",
            "telephone_number": "718-969-7500",
            "fax_number": "718-969-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULEVARD ALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "NEUFELD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-969-7500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "9448L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02632451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Flushing, NY
• Providers in Flushing, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.