Maria Regina Residence, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

MARIA REGINA RESIDENCE, INC.

Practice address

1725 Brentwood Rd
BLDG 1
Brentwood, NY 11717-5543

Phone

(631) 299-3000

Fax

(631) 299-3274

NPI assigned

Jul 1, 2005

Last updated

Sep 17, 2024By 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

Ilana Avinari

Title

Cfo

Phone

(845) 447-1542

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Barry Hal Balot, DO

  • Internal Medicine Physician
  • Lindenhurst, NY
  • NPI 1215997887
  NPD (past)
• David Matthew Balot, D.O

  • Family Medicine Physician
  • Lindenhurst, NY
  • NPI 1649619636
  NPD (past)
• Ryan M. Cahill, D.O.

  • Family Medicine Physician
  • Deer Park, NY
  • NPI 1437250032
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1063419356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 BRENTWOOD RD",
            "address_2": "BLDG 1",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175543",
            "telephone_number": "845-447-1542",
            "fax_number": "845-447-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 BRENTWOOD RD",
            "address_2": "BLDG 1",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175543",
            "telephone_number": "631-299-3000",
            "fax_number": "631-299-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA REGINA RESIDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "AVINARI",
        "authorized_official_first_name": "ILANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "845-447-1542"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5154321N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02277085",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02496748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manilal I.Patel Dentist PC
• Pamela M Maniscalco, RN
• Alexa Manning, OTD, OTR/L
• Albert A Marcantonio, OD
• Margarita C Pascual MD PC
• Michele Nicole Marino, RN
• Kimmberly Marrero
• Savitri Marsh, LPN
• Marson Licensed Clinical Social Work and Consulting Services, PLLC
• Bernadette Candis Marson, LCSW

• Adult Day Care Clinic/Center in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.