Provider Demographics
NPI:1730851858
Name:NEW YORK CARES GROUP LLC
Entity type:Organization
Organization Name:NEW YORK CARES GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:FREMLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKYI
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:917-428-8463
Mailing Address - Street 1:9341 SPRINGFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11428-1863
Mailing Address - Country:US
Mailing Address - Phone:917-428-8463
Mailing Address - Fax:
Practice Address - Street 1:9341 SPRINGFIELD BLVD
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11428-1863
Practice Address - Country:US
Practice Address - Phone:315-415-3546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility