Active NPI
Sundance Sadc Inc.
- Adult Day Care Clinic/Center
- Brooklyn, NY
National Provider Identifier
1942550603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- SUNDANCE SADC INC.
- Practice address
- 486 Livonia Ave.
Brooklyn, NY 11207 - Phone
- (929) 234-2900
- Fax
- (718) 889-2349
- NPI assigned
- Sep 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Metelsky
- Title
- Executive Director
- Phone
- (929) 234-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
486 Livonia Ave.
Brooklyn, NY 11207
Mailing address
561 Utica Ave FL 2
Brooklyn, NY 11203-1916
Phone (929) 234-2901
National Provider Directory
National Provider Directory- Tax ID family
- Sundance Sadc Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Brooklyn, NY
- NPI 1134666217
Locations
1367 Utica Ave
Brooklyn, NY 11203
486 Livonia Ave
Brooklyn, NY 11207
Phone (929) 234-2900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1942550603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 UTICA AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031916",
"telephone_number": "929-234-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 LIVONIA AVE.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11207",
"telephone_number": "929-234-2900",
"fax_number": "718-889-2349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNDANCE SADC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-10",
"last_updated": "2022-03-02",
"certification_date": "2022-02-17",
"status": "A",
"authorized_official_last_name": "METELSKY",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "929-234-2900",
"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 Mar 2, 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.