The Boardwalk NH LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE BOARDWALK NH LLC

Practice address

2720 Surf Ave
Brooklyn, NY 11224-1913

Phone

(718) 714-4800

Fax

(718) 228-8622

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Joel Edelstein

Title

Ceo

Phone

(718) 888-5200

Specialties & licenses 1

Addresses

Other names 1

• The Boardwalk Rehabilitation & Nursing Doing business as

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1609497635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545931",
            "telephone_number": "718-888-5200",
            "fax_number": "718-228-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241913",
            "telephone_number": "718-714-4800",
            "fax_number": "718-228-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOARDWALK NH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-888-5200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Boardwalk Rehabilitation & Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.