Active NPI
Liberty Social Adult Daycare Inc
- Adult Day Care Clinic/Center
- Brooklyn, NY
National Provider Identifier
1972407773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- LIBERTY SOCIAL ADULT DAYCARE INC
- Practice address
- 2935 Ocean Pkwy Apt 1a
Brooklyn, NY 11235-8035 - Phone
- (917) 519-1151
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- 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
- Rezwan Siddique
- Title
- Ceo
- Phone
- (917) 519-1151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary |
Addresses
Primary practice location
2935 Ocean Pkwy Apt 1a
Brooklyn, NY 11235-8035
Mailing address
126 Walnut St
Lynbrook, NY 11563-2029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1972407773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 WALNUT ST",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 OCEAN PKWY APT 1A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358035",
"telephone_number": "917-519-1151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY SOCIAL ADULT DAYCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "SIDDIQUE",
"authorized_official_first_name": "REZWAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-519-1151"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.