Active NPI
Molina Social Adult Day Care
- Adult Day Care Clinic/Center
- Jackson Heights, NY
National Provider Identifier
1750076956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MOLINA SOCIAL ADULT DAY CARE
- Practice address
- 3718 73Rd St Ste 301
Jackson Heights, NY 11372-6218 - Phone
- (201) 982-3120
- Fax
- (201) 489-8035
- NPI assigned
- Apr 5, 2023
- 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
- Dr. Gajendra Patel, PH.D.
- Title
- Director
- Phone
- (201) 982-3120
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
3718 73Rd St Ste 301
Jackson Heights, NY 11372-6218
Mailing address
3718 73Rd St Ste 301
Jackson Heights, NY 11372-6218
Phone (201) 982-3120
National Provider Directory
National Provider DirectoryLocations
3718 73rd St
Ste 301
Jackson Heights, NY 11372
Phone (201) 982-3120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680652800000",
"number": "1750076956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 73RD ST STE 301",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726218",
"telephone_number": "201-982-3120",
"fax_number": "201-489-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3718 73RD ST STE 301",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726218",
"telephone_number": "201-982-3120",
"fax_number": "201-489-8035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOLINA SOCIAL ADULT DAY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "GAJENDRA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "201-982-3120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.