Organization Active NPI

Canarsie Adult Living Inc

  • Adult Day Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1962765396
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CANARSIE ADULT LIVING INC
Practice address
1880 Rockaway Pkwy
Brooklyn, NY 11236-5308
Phone
(718) 513-0776
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Miriam Pollak
Title
Consultant
Phone
(718) 513-0776

Specialties & licenses 1

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

Addresses

Primary practice location

1880 Rockaway Pkwy
Brooklyn, NY 11236-5308

Mailing address

1880 Rockaway Pkwy
Brooklyn, NY 11236-5308
Phone (718) 513-0776

National Provider Directory

National Provider Directory

Locations

1880 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 513-0776

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1962765396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365308",
            "telephone_number": "718-513-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365308",
            "telephone_number": "718-513-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANARSIE ADULT LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2023-01-24",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "718-513-0776"
    },
    "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 Jan 24, 2023; 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.