Organization Active NPI

Boys Club of New York

  • Dental Clinic/Center
  • New York, NY
National Provider Identifier
1760441489
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.