Organization Active NPI

Bishop Francis Mugavero

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1508852559
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BISHOP FRANCIS MUGAVERO
Practice address
155 Dean St
Brooklyn, NY 11217-2213
Phone
(718) 694-6715
Fax
(718) 694-6710
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Ida Santos
Title
Administrator
Phone
(718) 694-6715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NY Primary

Addresses

Primary practice location

155 Dean St
Brooklyn, NY 11217-2213

Mailing address

155 Dean St
Brooklyn, NY 11217-2213
Phone (718) 694-6715

Other identifiers 2

IdentifierTypeStateIssuer
01533146MedicaidNY
017158OtherNYEMPIRE BC & BS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508852559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172213",
            "telephone_number": "718-694-6715",
            "fax_number": "718-694-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 DEAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172213",
            "telephone_number": "718-694-6715",
            "fax_number": "718-694-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP FRANCIS MUGAVERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "IDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-694-6715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01533146",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC & BS",
            "identifier": "017158",
            "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 Jul 21, 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.