{
"Npi": {
"NPI": "1114876919",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALIYAH SUPPORTIVE LIVING AND COMMUNITY CARE",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "20 WATER GRANT STREET",
"SecondLineMailingAddress": "APT 506",
"MailingAddressCityName": "YONKER",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10701",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-864-1737",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "261 PARKER AVE",
"SecondLinePracticeLocationAddress": "FLOOR 1",
"PracticeLocationAddressCityName": "MAPLEWOOD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07040-1637",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "917-864-1737",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/26/2026",
"LastUpdateDate": "01/26/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NUREDEEN",
"AuthorizedOfficialFirstName": "FIRDAWS",
"AuthorizedOfficialMiddleName": "Z",
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "917-864-1737",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251S00000X",
"TaxonomyName": "Community/Behavioral Health Agency",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}