Organization Active NPI

Zhang Fajun Adult Daycare Inc

  • Adult Day Care Clinic/Center
  • Corona, NY
National Provider Identifier
1548976152
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ZHANG FAJUN ADULT DAYCARE INC
Practice address
10802 Otis Ave
Corona, NY 11368-3914
Phone
(929) 218-9132
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Fajun Zhang, SOCIAL DAY CARE
Title
President
Phone
(929) 218-9132

Specialties & licenses 1

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

Addresses

Primary practice location

10802 Otis Ave
Corona, NY 11368-3914

Mailing address

9906 58TH Ave Apt 1a
Corona, NY 11368-3701
Phone (929) 218-9132

National Provider Directory

National Provider Directory

Locations

10802 Otis Ave
Corona, NY 11368
Phone (929) 218-9132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1548976152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9906 58TH AVE APT 1A",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683701",
            "telephone_number": "929-218-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 OTIS AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683914",
            "telephone_number": "929-218-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHANG FAJUN ADULT DAYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "FAJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-218-9132",
        "authorized_official_credential": "SOCIAL DAY CARE"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.