Organization Active NPI

Nesconset Operating LLC

  • Adult Day Care Clinic/Center
  • Central Islip, NY
National Provider Identifier
1013537786
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NESCONSET OPERATING LLC
Practice address
575 Clayton St
Central Islip, NY 11722-3021
Phone
(201) 731-1700
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Mark Friedman
Title
Owner
Phone
(201) 731-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

575 Clayton St
Central Islip, NY 11722-3021

Mailing address

180 Sylvan Ave Ste 4
Englewood Cliffs, NJ 07632-2519
Phone (201) 731-1700

National Provider Directory

National Provider Directory
Tax ID family
Nesconset Operating LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

575 Clayton St
Central Islip, NY 11722
Phone (631) 234-0550

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1013537786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 SYLVAN AVE STE 4",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322519",
            "telephone_number": "201-731-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 CLAYTON ST",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223021",
            "telephone_number": "201-731-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESCONSET OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-731-1700"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.