Mackensdy Dormeus

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

19011 Linden Blvd
Saint Albans, NY 11412-3346

Phone

(929) 433-0054

Fax

(929) 433-0055

NPI assigned

Dec 15, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Adult Daycare-Multiservice LLC

  • Adult Day Care Clinic/Center
  • Saint Albans, NY
  • NPI 1457002909
  NPD Authorized official

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1730848813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 PINEBROOK AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115524225",
            "telephone_number": "929-433-0054",
            "fax_number": "929-433-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19011 LINDEN BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123346",
            "telephone_number": "929-433-0054",
            "fax_number": "929-433-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMEUS",
        "first_name": "MACKENSDY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Diamond, OT
• Arthalie Dieujuste-Seide
• Divine Care Medical Supply Services
• Daphney Dorcely
• Heidy L Dorgerville, LPN
• Kerlande Dorsainvil
• Dr Bryant Medical Practice PC
• Dr David Angelillo Orthopaedic Surgery & Sports Medicine PC
• Dr. Dorothy Nene Ogundu, MD, PC
• Kecha L. Drysdale-Bernard

• Adult Day Care Clinic/Center in Saint Albans, NY
• Providers in Saint Albans, 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 Dec 15, 2021; 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.