Organization Active NPI

Fiesta Adult Daycare LLC

  • Adult Day Care Clinic/Center
  • Staten Island, NY
National Provider Identifier
1952276065
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FIESTA ADULT DAYCARE LLC
Practice address
2200 Victory Blvd FL 2
Staten Island, NY 10314-6624
Phone
(718) 814-0555
Fax
(718) 228-8999
NPI assigned
Oct 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Tatyana F Elberg
Title
Administrator
Phone
(718) 996-0456

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Victory Blvd FL 2
Staten Island, NY 10314-6624

Mailing address

2200 Victory Blvd FL 2
Staten Island, NY 10314-6624
Phone (718) 814-0555

National Provider Directory

National Provider Directory
Tax ID family
Fiesta Adult Daycare LLC2 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

2200 Victory Blvd
Fl 2
Staten Island, NY 10314
Phone (718) 814-0555

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1952276065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 VICTORY BLVD FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146624",
            "telephone_number": "718-814-0555",
            "fax_number": "718-228-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 VICTORY BLVD FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146624",
            "telephone_number": "718-814-0555",
            "fax_number": "718-228-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA ADULT DAYCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "ELBERG",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-996-0456"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 8, 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.

Verify at the official NPI Registry.