Organization Active NPI

Regency of Boro Park

  • Assisted Living Facility
  • Brooklyn, NY
National Provider Identifier
1871796045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
331F268 Issued in NY
Legal business name
REGENCY OF BORO PARK
Practice address
5110 19TH Ave
Brooklyn, NY 11204-1703
Phone
(718) 223-1800
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sam Moskowitz
Title
Owner
Phone
(718) 223-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 331F268 NY Primary

Addresses

Primary practice location

5110 19TH Ave
Brooklyn, NY 11204-1703

Mailing address

5110 19TH Ave
Brooklyn, NY 11204-1703
Phone (718) 223-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871796045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041703",
            "telephone_number": "718-223-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 19TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041703",
            "telephone_number": "718-223-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY OF BORO PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-223-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "331F268",
            "primary": true
        }
    ],
    "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 22, 2020; 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.