Organization Active NPI

Fiesta Adult Daycare of Staten Island Inc.

  • Adult Day Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1750718938
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FIESTA ADULT DAYCARE OF STATEN ISLAND INC.
Practice address
1241 Castleton Ave
Staten Island, NY 10310-1713
Phone
(929) 251-3812
NPI assigned
Oct 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Lucille Fine
Title
Owner
Phone
(929) 251-3812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1241 Castleton Ave
Staten Island, NY 10310-1713

Mailing address

1241 Castleton Ave
Staten Island, NY 10310-1713
Phone (929) 251-3812

National Provider Directory

National Provider Directory

Locations

1241 Castleton Ave
Staten Island, NY 10310
Phone (929) 251-3812

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1750718938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101713",
            "telephone_number": "929-251-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101713",
            "telephone_number": "929-251-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA ADULT DAYCARE OF STATEN ISLAND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-02",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-251-3812"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.