Active NPI
Elmy'S Special Services, Inc
- Voluntary or Charitable Agency
- Brooklyn, NY
National Provider Identifier
1639448848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- 93130590
- Legal business name
- ELMY'S SPECIAL SERVICES, INC
- Practice address
- 163 Van Buren St
Brooklyn, NY 11221 - Phone
- (718) 789-7539
- Fax
- (718) 443-7857
- NPI assigned
- Dec 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ray Knights
- Title
- Executive Director
- Phone
- 71807897539
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | 93130590 | NY | Primary |
Addresses
Primary practice location
163 Van Buren St
Brooklyn, NY 11221
Mailing address
163 Van Buren St
Brooklyn, NY 11221
Phone (718) 789-7539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02371002 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1639448848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 VAN BUREN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11221",
"telephone_number": "718-789-7539",
"fax_number": "718-443-7857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 VAN BUREN ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11221",
"telephone_number": "718-789-7539",
"fax_number": "718-443-7857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMY'S SPECIAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-16",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "KNIGHTS",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "71807897539",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NY",
"license": "93130590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02371002",
"state": "NY"
}
],
"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 Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.