BETH ABRAHAM HEALTH SERVICES (NPI# 1710910369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710910369 |
| Entity Type | Organization |
| Organization Name | BETH ABRAHAM HEALTH SERVICES |
| Practice Address |
612 Allerton Ave Bronx NY 10467-7404 |
| Practice Telephone | 7188813000 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | STEPHEN MANN (CFO) |
| Authorized Official Telephone | 7185195937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00310756 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326256231 | Beth Abraham Health Services | Home Health | 1250 Waters Pl, Tower One Suite 602, Bronx, NY 10461-2720 | 2007-05-21 |
| 1700911377 | Beth Abraham Health Services | Exclusive Provider Organization | 2401 White Plains Rd, Bronx, NY 10467-8108 | 2007-02-22 |
| 1700972114 | Beth Abraham Health Services | Clinic/Center | 612 Allerton Ave, Bronx, NY 10467-7404 | 2006-10-04 |
| Street Address |
612 ALLERTON AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467-7404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340608 | Jody Alaine Palo Lacson | Nurse Practitioner | 612 Allerton Ave, Bronx, NY 10467-7404 | 2019-11-18 |
| 1396399788 | Victoria Domenica Ferrante | Occupational Therapist | 612 Allerton Ave, Bronx, NY 10467-7404 | 2019-07-24 |
| 1477077535 | John Mark Carlos Bonagua | Nurse Practitioner | 612 Allerton Ave, Bronx, NY 10467-7404 | 2017-07-31 |
| 1053767848 | Abraham Operations Associates LLC | Skilled Nursing Facility | 612 Allerton Ave, Bronx, NY 10467-7404 | 2016-05-11 |
| 1528423514 | 612 Allerton Avenue Creative Arts Therapy Pllc | Music Therapist | 612 Allerton Ave, Bronx, NY 10467-7404 | 2015-12-18 |
| 1407122450 | Janeen Marshall | Internal Medicine | 612 Allerton Ave, Bronx, NY 10467-7404 | 2012-03-23 |
| 1871860411 | Harvey J Mandel Md PC | Ophthalmology | 612 Allerton Ave, Bronx, NY 10467-7404 | 2011-11-28 |
| 1558675090 | Rosa Kellogg | Registered Nurse | 612 Allerton Ave, Bronx, NY 10467-7404 | 2010-07-26 |
| 1104057090 | Kathleen Falk | Clinic/Center | 612 Allerton Ave, Bronx, NY 10467-7404 | 2009-07-27 |
| 1912144163 | Concetta Maria Tomaino | Music Therapist | 612 Allerton Ave, Bronx, NY 10467-7404 | 2009-01-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| 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 |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1124410733 | Hope Center Operations LLC | Skilled Nursing Facility | 1401 University Avenue, Bronx, NY 10452-4050 | 2015-02-19 |
| 1619371341 | Glenmore Wiggan | Skilled Nursing Facility | 3322 Lurting Ave, Bronx, NY 10469-3712 | 2014-10-09 |
| 1427488063 | Ibrahim | Skilled Nursing Facility | 1915 Morris Ave, Bronx, NY 10453-5920 | 2013-11-18 |
| 1053687467 | Board of Education(office of School Health) | Skilled Nursing Facility | 2225 Webster Ave Rm 309, (ms391), Bronx, NY 10457 | 2012-03-29 |
| 1740552611 | Rugal Enterprises LLC | Skilled Nursing Facility | 3843 Bailey Ave, Bronx, NY 10463-2503 | 2012-02-07 |
| 1871626218 | Michael M Tsung | Skilled Nursing Facility | 3200 Baychester Ave, Bronx, NY 10475-1513 | 2007-03-14 |
| 1578623179 | Riverdale Center for Nursing and Rehabilitation, LLC | Skilled Nursing Facility | 3220 Henry Hudson Parkway, Bronx, NY 10463-3211 | 2006-12-12 |
| 1902974058 | Eastchester Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 2700 Eastchester Rd, Bronx, NY 10469-5923 | 2006-11-30 |
| 1568535284 | Throgs Neck Operating Co LLC | Skilled Nursing Facility | 707 Throggs Neck Expy, Bronx, NY 10465-2319 | 2006-11-17 |
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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.