Organization Active NPI

FSL Training LLC

  • Health Maintenance Organization
  • New York, NY
National Provider Identifier
1609674852
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
FSL TRAINING LLC
Practice address
22 W 19TH Street
Complete Body
New York, NY 10011
Phone
(718) 683-6944
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Deon Walcott
Title
Director
Phone
(717) 186-8369

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Meals Provider 174200000X
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

22 W 19TH Street
Complete Body
New York, NY 10011

Mailing address

814 Roosevelt St
West Hempstead, NY 11552-3823
Phone (718) 683-6944

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1609674852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 ROOSEVELT ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523823",
            "telephone_number": "718-683-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W 19TH STREET",
            "address_2": "COMPLETE BODY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "718-683-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSL TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-02",
        "status": "A",
        "authorized_official_last_name": "WALCOTT",
        "authorized_official_first_name": "DEON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-186-8369"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.