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
9234028929The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Skilled Nursing Facility, Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
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 Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (2).

Sources for this page