Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

1377 EAST 17TH STREET LLC
NPI 1083341127
Lodging in Brooklyn, NY

Active since August 08, 2022
3626 BAYVIEW AVE, BROOKLYN, NY 11224(718) 802-8558 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 10, 2026, Aug 8, 2022 (2 updates tracked since 2022).

About 1377 East 17th Street Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1377 EAST 17TH STREET LLC (NPI 1083341127), doing business as Angie Wassif, is a healthcare organization registered as a lodging in Brooklyn, New York and active in the NPI registry since August 2022. The organization lists Angie Wassif, Director, as its authorized official.

NPPES Registry Identity

NPI1083341127
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business Name1377 EAST 17TH STREET LLC
Location Address3626 BAYVIEW AVEBrooklyn, NY 11224-1647
Mailing Address1377 E 17th StBrooklyn, NY 11230-6010 · (717) 802-8558
Organization SubpartYes
Authorized OfficialAngie WassifDirector · (717) 802-8558
Enumeration DateAugust 8, 2022
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
NPI 1083341127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
3626 BAYVIEW AVE, Brooklyn, NY 11224

Other Names 1

Doing Business AsAngie Wassif

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1377 East 17th Street LLC's NPI number?

The NPI number for 1377 East 17th Street LLC is 1083341127. It was assigned to this organization in the NPPES registry on August 8, 2022. The provider is doing business as Angie Wassif.

Where is 1377 East 17th Street LLC located?

1377 East 17th Street LLC is located at 3626 Bayview Ave, Brooklyn, NY 11224. The listed phone number is (718) 802-8558.

What is 1377 East 17th Street LLC's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

When was this NPI record last updated?

The NPPES record for 1377 East 17th Street LLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.