NPIMap

Organization Active NPI

Massapequa Center LLC

Doing business as Massapequa Center Adult Day Care

  • Adult Day Care Clinic/Center
  • Amityville, NY
National Provider Identifier
1891219135
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
MASSAPEQUA CENTER LLC
Doing business as
Massapequa Center Adult Day Care
Practice address
101 Louden Ave.
Amityville, NY 11701-1705
Phone
(631) 264-0222
NPI assigned
Jul 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gerald B Fuchs
Title
Coo
Phone
(718) 888-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

101 Louden Ave.
Amityville, NY 11701-1705

Mailing address

101 Louden Ave.
Amityville, NY 11701-1705
Phone (631) 264-0222

Other practice location 1

399 County Line Road
Amityville, NY 11701
Phone (631) 264-0222

Other identifiers 1

IdentifierTypeStateIssuer
01605545MedicaidNY

Other names 1

  • Massapequa Center Adult Day Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Massapequa Center Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891219135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LOUDEN AVE.",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011705",
            "telephone_number": "631-264-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LOUDEN AVE.",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011705",
            "telephone_number": "631-264-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 County Line Road",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "11701",
            "country_code": "US",
            "telephone_number": "631-264-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MASSAPEQUA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-888-5200"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01605545",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massapequa Center Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Massapequa Center Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.