Michael N. Malotz Skilled Nursing Pavilion

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5907316N Issued in NY

Legal business name

MICHAEL N. MALOTZ SKILLED NURSING PAVILION

Practice address

120 Odell Ave
Yonkers, NY 10701-1408

Phone

(914) 964-3333

Fax

(914) 964-4726

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sherwin Chue

Title

Controller

Phone

(914) 964-3333

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Adira at Riverside Rehabilitation Nursing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• L&a Operations LLC

  dba Adira at Riverside Rehabilitation & Nursing

  • Skilled Nursing Facility
  • Yonkers, NY
  • NPI 1083093306
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Brill, M.D.

  • Pulmonary Disease Physician
  • Yonkers, NY
  • NPI 1811933088
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013006139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ODELL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-964-3333",
            "fax_number": "914-964-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ODELL AVE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011408",
            "telephone_number": "914-964-3333",
            "fax_number": "914-964-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N. MALOTZ SKILLED NURSING PAVILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUE",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "914-964-3333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5907316N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "023855",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02171933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Metzger, R.N. C.D.E.
• Magaly Mevs-Hammond, M.S-CCC-SLP
• Elizabeth Ann Meyer, OTR/L
• Michael a. Dibbini, D.D.S., P.C.
• Michael Malotz Skilled Nursing Pavillion
• David Michaelov
• Yana Michaels
• Andrzej Maria Michalik, M.D.
• Brianna Miclat
• Midair Transportation

• Skilled Nursing Facility in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.