BAY RIDGE CENTER, INC (NPI# 1255875597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255875597 |
Entity Type | Organization |
Organization Name | BAY RIDGE CENTER, INC |
Other Organization Name | BAY RIDGE CENTER FOR OLDER ADULTS |
Practice Address |
6935 4th Ave Brooklyn NY 11209-1501 |
Mailing Address |
411 Ovington Ave Brooklyn NY 11209-1504 |
Practice Telephone | 7187480650 |
Practice Fax Number | 7186805143 |
Mailing Telephone | 7187480650 |
Mailing Fax Number | 7186805143 |
Enumeration Date | 2016-12-06 |
Last Update Date | 2016-12-06 |
Authorized Official Name | MS. MARIANNE NICOLOSI (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7187480650 |
Authorized Official Credential | L.M.S.W. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
NY | Ambulatory Health Care Facilities | |
N | 347B00000X | Bus | NY | Transportation Services | |
Y | 251V00000X | Voluntary or Charitable | NY | Agencies |
Other Name | Type Code |
---|---|
Bay Ridge Center for Older Adults | Other Name - Individual/Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | BAY RIDGE CENTER, INC. | 411 Ovington Ave., Brooklyn, Ny 11209 |
Street Address |
6935 4TH AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11209-1501 |
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1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
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Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
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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.