Organization Active NPI

Rousseau Etienne

  • Adult Care Home Facility
  • Brooklyn, NY
National Provider Identifier
1992167860
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ROUSSEAU ETIENNE
Practice address
1695 Remsen Ave
Brooklyn, NY 11236-5233
Phone
(917) 335-7427
Fax
(718) 287-4300
NPI assigned
Mar 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Authorized official

Name
Mr. Rousseau Etienne
Title
LPN
Phone
(917) 335-7427

Specialties & licenses 1

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

Addresses

Primary practice location

1695 Remsen Ave
Brooklyn, NY 11236-5233

Mailing address

1695 Remsen Ave
Brooklyn, NY 11236-5233
Phone (917) 335-7427

National Provider Directory

National Provider Directory

Locations

1695 Remsen Ave
Brooklyn, NY 11236
Phone (718) 531-6911

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1992167860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365233",
            "telephone_number": "917-335-7427",
            "fax_number": "718-287-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112365233",
            "telephone_number": "917-335-7427",
            "fax_number": "718-287-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSSEAU ETIENNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "ETIENNE",
        "authorized_official_first_name": "ROUSSEAU",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "917-335-7427",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "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 22, 2016; 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.