Organization Active NPI

Aquantarium Temple Inc

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1528838802
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AQUANTARIUM TEMPLE INC
Practice address
2417 Albemarle Rd Apt 9a
Brooklyn, NY 11226-8415
Phone
(917) 421-6733
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Mr. Gilson De Jesus
Title
Ceo
Phone
(917) 421-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2417 Albemarle Rd Apt 9a
Brooklyn, NY 11226-8415

Mailing address

2417 Albemarle Rd Apt 9a
Brooklyn, NY 11226-8415
Phone (917) 421-6733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1528838802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 ALBEMARLE RD APT 9A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112268415",
            "telephone_number": "917-421-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 ALBEMARLE RD APT 9A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112268415",
            "telephone_number": "917-421-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUANTARIUM TEMPLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "GILSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-421-6733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "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 Jan 8, 2024; 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.