DYKER SENIOR CENTER INC. (NPI# 1588042824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588042824 |
| Entity Type | Organization |
| Organization Name | DYKER SENIOR CENTER INC. |
| Practice Address |
6713 11th Ave Brooklyn NY 11219-5904 |
| Practice Telephone | 7183318388 |
| Practice Fax Number | 7183318338 |
| Mailing Telephone | 7183318388 |
| Mailing Fax Number | 7183318338 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | MR. JAMES JIANG (DIRECTOR) |
| Authorized Official Telephone | 9175367964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | 4570739 | NY | Agencies |
| N | 251B00000X | Case Management | 4570739 | NY | Agencies |
| N | 251C00000X | Day Training, Developmentally Disabled Services | 4570739 | NY | Agencies |
| N | 251E00000X | Home Health | 4570739 | NY | Agencies |
| N | 251G00000X | Hospice Care, Community Based | 4570739 | NY | Agencies |
| N | 251K00000X | Public Health or Welfare | 4570739 | NY | Agencies |
| N | 251S00000X | Community/Behavioral Health | 4570739 | NY | Agencies |
| N | 253Z00000X | In Home Supportive Care | 4570739 | NY | Agencies |
| Y | 251T00000X | PACE Provider Organization | 4570739 | NY | Agencies |
| Street Address |
6713 11TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833993 | Evergreen Senior Daycare Center Inc | PACE Provider Organization | 5815 6th Ave, Brooklyn, NY 11220-3808 | 2019-10-22 |
| 1013402155 | Dqm Medical PC | PACE Provider Organization | 829 57th St Fl 5, Brooklyn, NY 11220-3677 | 2018-06-29 |
| 1518489293 | S&j Pegasus Inc | PACE Provider Organization | 8754 Bay 16th Street, Cellular Floor, Brooklyn, NY 11214 | 2017-07-13 |
| 1497276588 | Evergreen Senior Daycare Center | PACE Provider Organization | 949 59th St, Brooklyn, NY 11219-4810 | 2017-06-29 |
| 1316079817 | Benjamin Wu, M.d. P.C. | PACE Provider Organization | 823 60th St Fl 1, Brooklyn, NY 11220-4300 | 2007-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912408477 | Medicine Horse Farm Corp | PACE Provider Organization | 38 Lizzies Lane, Morrisonville, NY 12962 | 2018-02-21 |
| 1295279651 | Amherst Meals On Wheels, Inc. | PACE Provider Organization | 370 John James Audubon Pkwy, Amherst, NY 14228-1142 | 2016-12-05 |
| 1710432638 | Achieve Beyond | PACE Provider Organization | 1394 Prospect Ave Apt 1fl, Bronx, NY 10459-1405 | 2016-08-21 |
| 1801217575 | Thomas G Coyle | PACE Provider Organization | 375 S End Ave, Apartment 25 U, New York, NY 10280-1014 | 2013-12-26 |
| 1164731402 | Adler Special Care Inc | PACE Provider Organization | 138-18 228 Street, Laurelton, NY 11413 | 2010-10-05 |
| 1922332725 | Helping Hands Consultation Services Inc | PACE Provider Organization | 3 Harbor Rd, Suite 30, Cold Spring Harbor, NY 11724-1514 | 2009-09-25 |
| 1447410451 | Total Senior Care Inc | PACE Provider Organization | 1225 West State St, Olean, NY 14760-2135 | 2008-06-12 |
| 1851569222 | Stephen E. Kohn Lcsw P.C. | PACE Provider Organization | 70 W Red Oak Ln, 4th Floor, White Plains, NY 10604-3611 | 2008-02-19 |
| 1689758955 | Jewish Board of Family and Children Services | PACE Provider Organization | Jewish Board and Children and Family Services, Pride of Judea Community Services (clinic), Douglaston, NY 11362 | 2006-10-24 |
| 1942830724 | Precious Keepers | PACE Provider Organization | 205 South Ave Ste 108, Poughkeepsie, NY 12601-4823 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
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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.