MASSAPEQUA CENTER LLC (NPI# 1104355536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104355536 |
| Entity Type | Organization |
| Organization Name | MASSAPEQUA CENTER LLC |
| Other Organization Name | MASSAPEQUA CENTER REHABILITATION AND NURSING |
| Practice Address |
101 Louden Ave. Amityville NY 11701 |
| Practice Telephone | 6312640222 |
| Mailing Telephone | 6312640222 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | MR. GERALD B FUCHS (COO) |
| Authorized Official Telephone | 7188885200 |
| Authorized Official Credential | LNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00314181 | 05 |
| Other Name | Type Code |
|---|---|
| Massapequa Center Rehabilitation and Nursing | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 399 County Line Road, Amityville, NY 11701 | 7188885200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219135 | Massapequa Center LLC | Clinic/Center | 101 Louden Ave., Amityville, NY 11701-1705 | 2017-07-28 |
| Street Address |
101 LOUDEN AVE. |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219135 | Massapequa Center LLC | Clinic/Center | 101 Louden Ave., Amityville, NY 11701-1705 | 2017-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| 1982976999 | Express Medical Care, P.c | Internal Medicine | .357 Broadway, Suite 2c, Amityville, NY 11701 | 2012-02-07 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801254255 | Alice Virginia Kernizan | Skilled Nursing Facility | 81 Maple Dr, Amityville, NY 11701-1732 | 2016-01-31 |
| 1811334758 | Self | Skilled Nursing Facility | 4 Spruce Rd, Amityville, NY 11701-1019 | 2013-06-02 |
| 1588848113 | The Long Island Home | Skilled Nursing Facility | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2007-12-18 |
| 1821011305 | Brunswick Hospital Center, Inc | Skilled Nursing Facility | 366 Broadway, Amityville, NY 11701-2711 | 2006-07-25 |
| 1073500559 | The Long Island Home | Skilled Nursing Facility | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2005-09-30 |
| 1629065172 | The Long Island Home | Skilled Nursing Facility | 400 Sunrise Hwy, Amityville, NY 11701-2508 | 2005-09-30 |
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| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1659936334 | Nelson Tannis | Skilled Nursing Facility | 165 Broadway, New York, NY 10006-1404 | 2019-05-07 |
| 1295390029 | Westgate Operations Associates LLC | Skilled Nursing Facility | 525 Beahan Rd, Rochester, NY 14624-3403 | 2019-05-07 |
| 1952883423 | Roscoe Regional Healthcare LLC | Skilled Nursing Facility | 420 Rockland Rd, Roscoe, NY 12776-6450 | 2018-08-31 |
| 1164904769 | Renaissance Healthcare Group, LLC | Skilled Nursing Facility | 4975 Albany Post Rd, Staatsburg, NY 12580-6032 | 2018-08-30 |
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1376058578 | Yonkers Gardens, LLC | Skilled Nursing Facility | 115 S Broadway, Yonkers, NY 10701-4006 | 2017-12-10 |
| 1679009633 | Love's Compassion Care | Skilled Nursing Facility | 67 Keller St, Rochester, NY 14609-3948 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
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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.