Mermaid Manor Hfa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

331-F-276 Issued in NY

Legal business name

MERMAID MANOR HFA

Practice address

3602 Mermaid Ave
Brooklyn, NY 11224-1511

Phone

(718) 266-2100

Fax

(718) 333-1802

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Bert Fried

Title

Owner/Operator

Phone

(718) 266-2100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1861685778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241511",
            "telephone_number": "718-266-2100",
            "fax_number": "718-333-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241511",
            "telephone_number": "718-266-2100",
            "fax_number": "718-333-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERMAID MANOR HFA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "FRIED",
        "authorized_official_first_name": "BERT",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "718-266-2100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "331-F-276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ruth Merlin, M.D.
• Tatyana Merlinskaya, LCSW
• Temmi Merlis, LMSW
• Mermaid Dental Arts P.C.
• Mermaid Management Inc
• Mermaid Medical Art'S PC
• Mermaid Medical PC
• Mermaid Medical Supply Inc
• Mermaid Medical Supply Inc
• Mermaid Medical Wellness.PC

• Assisted Living Facility in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.