Organization Active NPI

Sundance Sadc Inc.

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1942550603
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Mar 2, 2022

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)CodeLicenseStatePrimary
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 Inc2 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.

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.

Verify at the official NPI Registry.