NEW VANDERBILT REHABILITATION AND CARE CENTER INC (NPI# 1548323157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548323157 |
| Entity Type | Organization |
| Organization Name | NEW VANDERBILT REHABILITATION AND CARE CENTER INC |
| Practice Address |
135 Vanderbilt Ave Staten Island NY 10304-2604 |
| Practice Telephone | 7184470701 |
| Practice Fax Number | 7184472952 |
| Mailing Telephone | 7184470701 |
| Mailing Fax Number | 7184472952 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-12-06 |
| Authorized Official Name | MS. KAREN FIGUEROA (DIRECTOR OF ACCOUNTS RECEIVABLES) |
| Authorized Official Telephone | 7184470701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 7004316N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SKILLED NURSING HOME | N31510 | 01 |
| NY | SKILLED NURSING HOME | UD756 | 01 |
| NY | SKILLED NURSING HOME | IC3111 | 01 |
| NY | 00308892 | 05 | |
| NY | SKILLED NURSING HOME | 176744 | 01 |
| NY | SKILLED NURSING HOME | 300738 | 01 |
| NY | SKILLED NURSING HOME | 007905 | 01 |
| Street Address |
135 VANDERBILT AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639247042 | Donna M Cugini | Nurse Practitioner | 135 Vanderbilt Ave, Staten Island, NY 10304-2604 | 2006-12-01 |
| 1285284992 | Larissa Jerominow | Nurse Practitioner | 135 Vanderbilt Ave, Staten Island, NY 10304-2604 | 2019-09-14 |
| 1760905459 | Dialysis Clinic Inc | Clinic/Center | 135 Vanderbilt Ave, Staten Island, NY 10304-2604 | 2017-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| 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 |
|---|---|---|---|---|
| 1073915351 | Loretta Scott Inc | Skilled Nursing Facility | 99 Leverett Ave, Staten Island, NY 10308-1724 | 2014-09-18 |
| 1033200100 | Verrazano Nursing Home Inc | Skilled Nursing Facility | 100 Castleton Avenue, Staten Island, NY 10301 | 2006-09-27 |
| 1023097698 | Carmel Richmond Nursing Home, Inc. | Skilled Nursing Facility | 88 Old Town Road, Staten Island, NY 10304 | 2006-01-12 |
| 1447248273 | Staten Island Care Center | Skilled Nursing Facility | 200 Lafayette Ave, Staten Island, NY 10301-1219 | 2005-10-06 |
| 1174510648 | Golden Gate Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 191 Bradley Ave, Staten Island, NY 10314-5166 | 2005-09-30 |
| 1255327078 | Silver Lake Specialized | Skilled Nursing Facility | 275 Castleton Ave, Staten Island, NY 10301-2709 | 2005-09-27 |
| 1770578064 | Sisters of Charity Health Care Systems Nh Inc | Skilled Nursing Facility | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2005-09-13 |
| 1417952417 | Clove Lakes Health Care and Rehabilitation Center, Inc. | Skilled Nursing Facility | 25 Fanning St, Staten Island, NY 10314-5307 | 2005-06-16 |
| 1922451327 | Margret Ultra Home Care | Skilled Nursing Facility | 34 Beach St, Staten Island, NY 10304-2702 | 2016-07-20 |
| 1992102321 | Alexia Santana | Skilled Nursing Facility | 275 Castleton Ave, Bookkeeping Department, Staten Island, NY 10301-2709 | 2014-12-01 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.