Brooklyn Boulevard Alp

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BROOKLYN BOULEVARD ALP

Practice address

636 Louisiana Ave
Brooklyn, NY 11239-1526

Phone

(718) 557-0777

Fax

(718) 642-3510

NPI assigned

Mar 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Howard Bruce Neufeld

Title

Executive Director

Phone

(718) 557-0777

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1831630532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 LOUISIANA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391526",
            "telephone_number": "718-557-0777",
            "fax_number": "718-642-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 LOUISIANA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391526",
            "telephone_number": "718-557-0777",
            "fax_number": "718-642-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN BOULEVARD ALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "NEUFELD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-557-0777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310400000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Behavioral Health Services
• Brooklyn Best Medical Supply, LLC
• Brooklyn Birthing Center Inc
• Brooklyn Body Works Physical Therapy - Northside (Brooklyn Body Works Physical Therapy & Wellness)
• Brooklyn Body Works Physical Therapy, P.C.
• Brooklyn Bridge Medical Associates. PLLC.
• Brooklyn Bridge Vision Associates Incorporated
• Brooklyn Bright Smile Dental, PC
• Brooklyn Bureau of Community Service
• Brooklyn Bureau of Community Service

• Adult Care Home Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.