Doral Adult Day Care Program LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

DORAL ADULT DAY CARE PROGRAM LLC

Doing business as

Doral Senior Day Care

Practice address

1797 Pitkin Ave
Brooklyn, NY 11212-7841

Phone

(718) 922-9200

Fax

(718) 922-9202

NPI assigned

Sep 5, 2019

Last updated

Sep 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Werner

Title

Controller

Phone

(718) 922-9200

Specialties & licenses 1

Addresses

Other names 1

• DORAL SENIOR DAY CARE Doing business as

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1679122329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333401",
            "telephone_number": "718-922-9200",
            "fax_number": "718-922-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 PITKIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127841",
            "telephone_number": "718-922-9200",
            "fax_number": "718-922-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL ADULT DAY CARE PROGRAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-922-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DORAL SENIOR DAY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Dopwell
• Cynthia Dor
• Nathan Dor, MD
• Ruth Dor
• Doral Adult Day Care LLC
• Doral Dialysis LLC
• Doral Investors Group
• Doral Medical and Multi Specialty Facility LLC
• Doral Pharmacy LLC
• Erika Dorbs

• Adult Day Care Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.