Organization Active NPI

Fiesta Adult Daycarellc

  • Alzheimer Center (Dementia Center)
  • Brooklyn, NY
National Provider Identifier
1518830850
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
FIESTA ADULT DAYCARELLC
Practice address
76 W Brighton Ave Ste 203
Brooklyn, NY 11224-4907
Phone
(718) 996-0456
Fax
(718) 228-8999
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Ms. Tatiana Elberg
Title
Administrator
Phone
(718) 996-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

76 W Brighton Ave Ste 203
Brooklyn, NY 11224-4907

Mailing address

76 W Brighton Ave Ste 203
Brooklyn, NY 11224-4907
Phone (718) 996-0456

National Provider Directory

National Provider Directory

Locations

76 W Brighton Ave
Ste 203
Brooklyn, NY 11224
Phone (718) 996-0456

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1518830850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W BRIGHTON AVE STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244907",
            "telephone_number": "718-996-0456",
            "fax_number": "718-228-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W BRIGHTON AVE STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244907",
            "telephone_number": "718-996-0456",
            "fax_number": "718-228-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA ADULT DAYCARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "ELBERG",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-996-0456",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 24, 2025; 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.