Dumont Masonic Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5904316N Issued in NY

Legal business name

DUMONT MASONIC HOME

Practice address

676 Pelham Rd
New Rochelle, NY 10805-1038

Phone

(914) 632-9600

Fax

(914) 632-4116

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ron Rostow

Title

Cfo

Phone

(914) 632-9600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063590370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 PELHAM RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051038",
            "telephone_number": "914-632-9600",
            "fax_number": "914-632-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 PELHAM RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051038",
            "telephone_number": "914-632-9600",
            "fax_number": "914-632-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUMONT MASONIC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSTOW",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "914-632-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5904316N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00752158",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfredo Dragone, PHARM D
• Alisa Dror, M.S. ED., BCBA
• Alice Kathryn Hagemeyer Du Bon, FNP-C
• Cara Ann Dubray, M.S. ED
• Omar Duggan
• Dumont Operating, LLC
• James J. Duncan
• Christine Theresa Dunlap
• Maureen Dunne-Heege, RD
• Bolaji Durodola, MD

• Skilled Nursing Facility in New Rochelle, NY
• Providers in New Rochelle, 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.