Organization Active NPI

Joseph P. Addabbo Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arverne, NY
National Provider Identifier
1831307628
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.
Practice address
6200 Beach Channel Drive
Arverne, NY 11692
Phone
(718) 945-7150
Fax
(718) 945-2596
NPI assigned
May 18, 2007
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Authorized official

Name
Mr. Robert Fliegel
Title
Acting Ceo
Phone
(718) 945-7150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 071513 NY
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

6200 Beach Channel Drive
Arverne, NY 11692

Mailing address

6200 Beach Channel Drive
Arverne, NY 11692
Phone (718) 945-7150

National Provider Directory

National Provider Directory
Tax ID family
Joseph P Addabbo Family Health Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1288 Central Ave
Far Rockaway, NY 11691
Phone (718) 327-1700

11439 Sutphin Blvd
Jamaica, NY 11434

11801 Guy R Brewer Blvd
Jamaica, NY 11434
Phone (718) 261-1300

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1831307628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DRIVE",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "11692",
            "telephone_number": "718-945-7150",
            "fax_number": "718-945-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BEACH CHANNEL DRIVE",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "11692",
            "telephone_number": "718-945-7150",
            "fax_number": "718-945-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P. ADDABBO FAMILY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "FLIEGEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "718-945-7150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071513",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.