Boris Mendel

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

590-F-148 Issued in NY

Legal business name

BORIS MENDEL

Doing business as

New Central Manor ALP

Practice address

1509 Central Ave
Far Rockaway, NY 11691-4001

Phone

(718) 471-7700

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Eric Mendel

Title

Associate Administrator

Phone

(718) 471-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Central Manor ALP Doing business as

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1568655645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914001",
            "telephone_number": "718-471-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914001",
            "telephone_number": "718-471-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS MENDEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MENDEL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ASSOCIATE ADMINISTRATOR",
        "authorized_official_telephone_number": "718-471-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "590-F-148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01447396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Central Manor ALP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Boberg, R.N.
• Linda Bobker, OTR/L
• Devorah M Bodenheim, LCSW
• Patrice B Boncroft, RN
• Deborah Borenstein
• Mark M Bornstein, D.D.S.
• Boro Park Rehabilitation P.T., PLLC
• Alicia A Bosley, PHD, LMFT
• Daniel Bouchette
• Chana Boundras Moseson

• Assisted Living Facility in Far Rockaway, NY
• Providers in Far Rockaway, 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 Jun 17, 2008; 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.