Organization Active NPI

Asian Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Sunnyside, NY
National Provider Identifier
1770039349
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ASIAN ADULT DAY CARE CENTER
Practice address
4120 Queens Boulevard
Sunnyside, NY 11104
Phone
(718) 786-8396
NPI assigned
Sep 1, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Prabir Mitra
Title
Officer
Phone
(718) 786-8396

Specialties & licenses 1

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

Addresses

Primary practice location

4120 Queens Boulevard
Sunnyside, NY 11104

Mailing address

4120 Queens Blvd
Sunnyside, NY 11104-2802

National Provider Directory

National Provider Directory

Locations

4120 Queens Blvd
Sunnyside, NY 11104
Phone (718) 786-8396

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770039349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 QUEENS BLVD",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 QUEENS BOULEVARD",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "11104",
            "telephone_number": "718-786-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MITRA",
        "authorized_official_first_name": "PRABIR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-786-8396"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.