NPIMap

Organization Active NPI

Carl Fenichel Community Services

  • Developmentally Disabled Services Day Training Agency
  • Brooklyn, NY
National Provider Identifier
1790965655
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CARL FENICHEL COMMUNITY SERVICES
Practice address
483 Clermont Ave
3Rd Floor
Brooklyn, NY 11238-2253
Phone
(718) 643-5300
Fax
(718) 643-0640
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Mr. Leon Fishman
Title
Comptroller
Phone
(718) 634-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

483 Clermont Ave
3Rd Floor
Brooklyn, NY 11238-2253

Mailing address

483 Clermont Avenue
3Rd Floor
Brooklyn, NY 11238-2253
Phone (718) 643-5300

Other identifiers 1

IdentifierTypeStateIssuer
02703973MedicaidNY

Other names 1

  • CARL FENICHEL COMMUNITY SVCS DAY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carl Fenichel Community Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1790965655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 CLERMONT AVENUE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382253",
            "telephone_number": "718-643-5300",
            "fax_number": "718-643-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CLERMONT AVE",
            "address_2": "3RD FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382253",
            "telephone_number": "718-643-5300",
            "fax_number": "718-643-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL FENICHEL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "718-634-5300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02703973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARL FENICHEL COMMUNITY SVCS DAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2016; 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.