Active NPI
Lasante Health Center Inc
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
National Provider Identifier
1790692747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- LASANTE HEALTH CENTER INC
- Practice address
- 4809 14TH Ave
Brooklyn, NY 11219-3777 - Phone
- (718) 246-5700
- NPI assigned
- Aug 25, 2026
- Organization subpart
- Yes
- Parent organization
- LASANTE HEALTH CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gedalya Blumenfrucht
- Title
- Ceo
- Phone
- (718) 246-5700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
4809 14TH Ave
Brooklyn, NY 11219-3777
Mailing address
672 Parkside Ave Ste 2
Brooklyn, NY 11226-2990
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1740672732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787616000000",
"number": "1790692747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "672 PARKSIDE AVE STE 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112262990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 14TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193777",
"telephone_number": "718-246-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LASANTE HEALTH CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LASANTE HEALTH CENTER INC",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A",
"authorized_official_last_name": "BLUMENFRUCHT",
"authorized_official_first_name": "GEDALYA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-246-5700"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.