GOLDEN AGE SADC


Address: 3601 Kings Hwy, E1, Brooklyn, NY 11234-2747
Phone: 2016758754

GOLDEN AGE SADC (NPI# 1053682187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053682187
Entity Type Organization
Organization Name GOLDEN AGE SADC
Practice Address 3601 Kings Hwy
E1
Brooklyn
NY 11234-2747
Mailing Address 818 Ravens Crest Dr E
Plainsboro
NJ 08536-2465
Practice Telephone 2016758754
Enumeration Date 2012-01-20
Last Update Date 2012-01-20
Authorized Official Name MR. STEVEN METELSKY (PRESIDENT)
Authorized Official Telephone 2016758754
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Office Location

Street Address 3601 KINGS HWY
E1
City BROOKLYN
State NY
Zip Code 11234-2747

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1891273033 Diana Haughton-bennett Nurse Practitioner 2067 E 60th St, Brooklyn, NY 11234 2018-07-31
1518450030 Eduard Galper Technician/Technologist 2062 E 36th St, Brooklyn, NY 11234 2018-06-09
1538658448 Vanessa Lee Hernandez Nurse Practitioner 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 2018-05-07
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11234

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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