COUNTY OF SUFFOLK (NPI# 1104868702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104868702 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SUFFOLK |
| Other Organization Name | JOHN J. FOLEY SKILLED NURSING FACILITY |
| Practice Address |
14 Glover Dr Yaphank NY 11980-1204 |
| Practice Telephone | 6318524400 |
| Practice Fax Number | 6318524475 |
| Mailing Telephone | 6318524400 |
| Mailing Fax Number | 6318524475 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | MR. JOHN T DIGILIO JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6318524404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5151304N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01935322 | 05 | |
| MEDICARE FEE FOR SERVICE | W79281 | 01 | |
| NY | 00310994 | 05 |
| Other Name | Type Code |
|---|---|
| JOHN J. FOLEY SKILLED NURSING FACILITY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760586978 | County of Suffolk | Local Education Agency (LEA) | 50 Laser Ct, Hauppauge, NY 11788 | 2006-09-08 |
| 1891897781 | County of Suffolk | Clinic/Center | 689 Jericho Tpke, Huntington Station, NY 11746-7501 | 2006-09-02 |
| 1669574547 | County of Suffolk | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2006-09-02 |
| 1871506055 | County of Suffolk | Home Health | 3500 Sunrise Hwy Ste 124, Great River, NY 11739-1001 | 2006-08-15 |
| 1851321152 | County of Suffolk | Clinic/Center | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2006-07-03 |
| 1093963910 | County of Suffolk | Case Management | 50 Laser Ct, Hauppauge, NY 11788-3958 | 2008-09-04 |
| 1285750737 | County of Suffolk | Public Health or Welfare | 3500 Sunrise Hwy Ste 124, Pob 9006, Great River, NY 11739-1001 | 2007-03-22 |
| 1386748598 | County of Suffolk | Clinic/Center | 300 Center Dr, Riverhead, NY 11901-3393 | 2006-09-08 |
| 1366546574 | County of Suffolk | Clinic/Center | 300 Center Dr, County Center, Riverhead, NY 11901-3393 | 2006-09-08 |
| 1275637480 | County of Suffolk | Clinic/Center | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2006-09-08 |
| Street Address |
14 GLOVER DR |
| City | YAPHANK |
| State | NY |
| Zip Code | 11980-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982988671 | Gail Kellner | Nurse Practitioner | 14 Glover Dr, Yaphank, NY 11980-1204 | 2011-09-29 |
| 1518194042 | Suffolk County Health Department | Skilled Nursing Facility | 14 Glover Dr, Yaphank, NY 11980-1204 | 2009-06-11 |
| 1104044486 | Khin M Latt | Psychiatry & Neurology | 14 Glover Dr, Yaphank, NY 11980-1204 | 2007-04-23 |
| 1861410508 | Bonnie Mccluskey | Psychologist | 14 Glover Dr, Yaphank, NY 11980-1204 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821489113 | Maura Walters | Speech-Language Pathologist | 430 Sills Road, Yaphank, NY 11980 | 2015-02-09 |
| 1033353750 | Samantha Lyn Boutis | Psychologist | 430 Sills Rd, Yaphank, NY 11980 | 2009-04-24 |
| 1417149386 | Maryhaven Center of Hope Inc. | Clinic/Center | 445 County Road 101, Yaphank, NY 11980 | 2007-08-15 |
| 1326267295 | Wieslawa Zofia Stelzel | Nurse Practitioner | 14 Glover Drive, Jj Foley Snf Suffolk County Department of Health, Yaphank, NY 11980 | 2007-04-25 |
| 1851483879 | Susan Byrne | Social Worker | 1490 Wm Floyd Parkway, Shirley, NY 11980 | 2006-09-28 |
| 1316580111 | Kaylene-lynn Christina Graffitti | Social Worker | 430 Sills Road, Yaphank, NY 11980 | 2019-10-24 |
| 1316506769 | Emily Lynn Martino | Specialist | 430 Sills Rd, Yaphank, NY 11980 | 2019-06-10 |
| 1609433309 | Catherine Gerard | Specialist | 430 Sills Road, Yaphank, NY 11980 | 2019-05-29 |
| 1255801551 | Alexandra Louise Silfer | Physical Therapist | 430 Sills Road, Yaphank, NY 11980 | 2018-11-29 |
| 1487964128 | Florence S Barresi | Occupational Therapist | 430 Sills Rd, Yaphank, NY 11980 | 2010-10-15 |
| Find all providers in zip 11980 | ||||
| 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 |
|---|---|---|---|---|
| 1518194042 | Suffolk County Health Department | Skilled Nursing Facility | 14 Glover Dr, Yaphank, NY 11980-1204 | 2009-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730701343 | Diamond Medical Employment Agency Inc | Skilled Nursing Facility | 21873 Hempstead Ave, Queens Village, NY 11429-2103 | 2020-05-18 |
| 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 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
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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.