Active NPI
Kings Bay Ym-Ywha
- Adult Day Care Clinic/Center
- Brooklyn, NY
National Provider Identifier
1912872805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- KINGS BAY YM-YWHA
- Practice address
- 9502 Seaview Ave
Brooklyn, NY 11236-5432 - Phone
- (718) 648-7703
- Fax
- (718) 889-0679
- NPI assigned
- Oct 9, 2025
- Last updated
- Oct 9, 2025
- Organization subpart
- Yes
- Parent organization
- KINGS BAY YM-YWHA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leonard Petlakh
- Title
- Executive Director
- Phone
- (718) 648-7703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
9502 Seaview Ave
Brooklyn, NY 11236-5432
Mailing address
9502 Seaview Ave
Brooklyn, NY 11236-5432
Phone (718) 648-7703
National Provider Directory
National Provider Directory- Part of
- Kings Bay Ym-Ywha
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1912872805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9502 SEAVIEW AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365432",
"telephone_number": "718-648-7703",
"fax_number": "718-889-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9502 SEAVIEW AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112365432",
"telephone_number": "718-648-7703",
"fax_number": "718-889-0679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGS BAY YM-YWHA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KINGS BAY YM-YWHA",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "PETLAKH",
"authorized_official_first_name": "LEONARD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-648-7703",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"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 Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.