Organization Active NPI

Rego Park NH LTD

Doing business as Rego Park Nursing Home ADHC

  • Adult Day Care Clinic/Center
  • Flushing, NY
National Provider Identifier
1053437491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
7003392N Issued in NY
Legal business name
REGO PARK NH LTD
Doing business as
Rego Park Nursing Home ADHC
Practice address
14518 34TH Ave
Flushing, NY 11354-3116
Phone
(718) 463-4400
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nelson M Tuchman
Title
Ceo
Phone
(718) 592-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 7003392N NY Primary

Addresses

Primary practice location

14518 34TH Ave
Flushing, NY 11354-3116

Mailing address

11126 Corona Ave
Corona, NY 11368-4027
Phone (718) 592-6400

Other identifiers 1

IdentifierTypeStateIssuer
01795808MedicaidNY

Other names 1

  • Rego Park Nursing Home ADHC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053437491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 CORONA AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684027",
            "telephone_number": "718-592-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14518 34TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543116",
            "telephone_number": "718-463-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGO PARK NH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCHMAN",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-592-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7003392N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01795808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rego Park Nursing Home ADHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flushing, NY

Sources for this page

  • 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.