Organization Active NPI

Accolade Care Inc

  • Adult Care Home Facility
  • Staten Island, NY
National Provider Identifier
1942657523
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
2421L Issued in NY
Legal business name
ACCOLADE CARE INC
Practice address
2015 Forest Ave Ste C3
Staten Island, NY 10303-1736
Phone
(646) 633-6375
Fax
(718) 390-0500
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Mr. Adewale OsinugaNPI 1477975134
Title
Administrator
Phone
(646) 633-6375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 2421L NY Primary

Addresses

Primary practice location

2015 Forest Ave Ste C3
Staten Island, NY 10303-1736

Mailing address

573 Cary Ave
Staten Island, NY 10310-1902
Phone (718) 675-9655

Other identifiers 1

IdentifierTypeStateIssuer
2016052313054695201OtherNYOMIG

National Provider Directory

National Provider Directory

Locations

2015 Forest Ave
Ste C3
Staten Island, NY 10303
Phone (646) 633-6375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1942657523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 CARY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101902",
            "telephone_number": "718-675-9655",
            "fax_number": "718-816-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 FOREST AVE STE C3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031736",
            "telephone_number": "646-633-6375",
            "fax_number": "718-390-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOLADE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "OSINUGA",
        "authorized_official_first_name": "ADEWALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-633-6375",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "2421L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMIG",
            "identifier": "2016052313054695201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.