Active NPI
Boys Club of New York
- Dental Clinic/Center
- New York, NY
National Provider Identifier
1760441489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BOYS CLUB OF NEW YORK
- Practice address
- 287 E 10TH St
New York, NY 10009-4816 - Phone
- (212) 533-2554
- Fax
- (212) 353-0016
- NPI assigned
- Mar 21, 2006
- 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. Brad Zervas
- Title
- Executive Director
- Phone
- (212) 533-2554
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NY | ||
| Dental Clinic/Center | 261QD0000X | NY | Primary |
Addresses
Primary practice location
287 E 10TH St
New York, NY 10009-4816
Mailing address
287 E 10TH St
New York, NY 10009-4816
Phone (212) 533-2554
Other names 1
- THE BOYS CLUB OF NEW YORK
National Provider Directory
National Provider DirectoryLocations
287 E 10th St
New York, NY 10009
Phone (212) 533-2554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1760441489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "287 E 10TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100094816",
"telephone_number": "212-533-2554",
"fax_number": "212-353-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 E 10TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100094816",
"telephone_number": "212-533-2554",
"fax_number": "212-353-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOYS CLUB OF NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "ZERVAS",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "212-533-2554",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE BOYS CLUB OF NEW YORK",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.