St. Johnland Nursing Center, Inc.
A Medicare group practice based in Kings Park, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9234028929), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9234028929
- Provider type
- Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
- Enrolled in
- NY
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040311000863 | NY | Part B Supplier - Clinic/Group Practice | 1336219658 |
| O20070608000048 | NY | Part A Provider - Skilled Nursing Facility | 1295744761 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St. Johnland Nursing Center, Inc.
- Skilled Nursing Facility
- Kings Park, NY
- NPI 1295744761
-
St. Johnland Nursing Center, Inc.
- Internal Medicine Physician
- Kings Park, NY
- NPI 1336219658
Practice locations
- Kings Park, NY2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).
-
Alex A Czira, MD
- Family Medicine Physician
- Huntington, NY
- NPI 1871557785
-
Hillary Diamond, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Northport, NY
- NPI 1902967011
-
Marjorie Mombeleur, M.D.,
- Internal Medicine Physician
- Woodbury, NY
- NPI 1831154889
-
Maureen M. Orsen, MD
- Internal Medicine Physician
- Kings Park, NY
- NPI 1154492429
-
Max Rudansky, MD
- Neurology Physician
- Huntington, NY
- NPI 1649358938
-
Jacques Winter, MD
- Neurology Physician
- Huntington, NY
- NPI 1750469052
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.