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BROOKLYN BOULEVARD ALP
NPI 1831630532
Custodial Care Facility - Adult Care Home in Brooklyn, NY

Active since March 14, 2017CLIA 33D2221405 · Waiver
636 LOUISIANA AVE, BROOKLYN, NY 11239(718) 557-0777(718) 642-3510 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooklyn Boulevard Alp NPPES

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

BROOKLYN BOULEVARD ALP (NPI 1831630532) is a healthcare organization registered as an adult care home in Brooklyn, New York and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Howard Bruce Neufeld, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1831630532
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameBROOKLYN BOULEVARD ALP
Location Address636 LOUISIANA AVEBrooklyn, NY 11239-1526
Mailing Address636 Louisiana AveBrooklyn, NY 11239-1526 · (718) 557-0777 · Fax (718) 642-3510
Phone(718) 557-0777
Fax(718) 642-3510
Organization SubpartNo
Authorized OfficialHoward Bruce NeufeldExecutive Director · (718) 557-0777
Enumeration DateMarch 14, 2017
✔ NPI 1831630532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
636 LOUISIANA AVE, Brooklyn, NY 11239
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Other Identifiers 1

Medicaid310400000XNY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2221405

Brooklyn Boulevard Alp · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2221405
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 21, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Adam D. Zeitlin
Laboratory Phone(718) 557-0777
Laboratory LocationBrooklyn Boulevard Alp636 Louisiana Ave, Brooklyn, NY 11239
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOULEVARD ADULT DAY CARE OF FLUSHING
Clinic/Center (Adult Day Care)
636 LOUISIANA AVE
BROOKLYN, NY 11239
Kings County (718) 557-0999
BRIANNA MICHELLE LEGOVICH OTR/L
Occupational Therapist
636 LOUISIANA AVE
BROOKLYN, NY 11239
Kings County (718) 557-0777
GABRIELLE SOPHIE BLEYNIS SLP
Speech-Language Pathologist
636 LOUISIANA AVE
BROOKLYN, NY 11239
Kings County (718) 557-0777

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 Brooklyn Boulevard Alp's NPI number?

The NPI number for Brooklyn Boulevard Alp is 1831630532. It was assigned to this organization in the NPPES registry on March 14, 2017.

Where is Brooklyn Boulevard Alp located?

Brooklyn Boulevard Alp is located at 636 Louisiana Ave, Brooklyn, NY 11239. The listed phone number is (718) 557-0777.

What is Brooklyn Boulevard Alp's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Brooklyn Boulevard Alp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2221405) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brooklyn Boulevard Alp was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.