Park Avenue Nursing & Rehabilitation Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0777 Issued in MA

Legal business name

PARK AVENUE NURSING & REHABILITATION CENTER INC

Practice address

146 Park Ave
Arlington, MA 02476-5829

Phone

(781) 648-9530

Fax

(781) 646-3668

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Alessandroni

Title

Executive Director

Phone

(781) 648-9530

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• PARK AVENUE NURSING & REHABILITATION CENTER Doing business as

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1104940287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 PARK AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765829",
            "telephone_number": "781-648-9530",
            "fax_number": "781-646-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 PARK AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024765829",
            "telephone_number": "781-648-9530",
            "fax_number": "781-646-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE NURSING & REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRONI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-648-9530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PROVIDER #",
            "identifier": "7100196",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904988",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM PROVID #",
            "identifier": "906183",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN PROV #",
            "identifier": "904423",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "2222558401",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARK AVENUE NURSING & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Pangburn, M.D.
• Hannah Paoletti, MS, RD, LDN
• Kenneth William Pappaconstantinou II
• Wendy Berman Paramore, MSW, LICSW
• Park Avenue Health Center, LLC
• Park Avenue SNF Opco LLC
• Park Avenue SNF Operations LLC
• Juliana Parker, LMHC
• Melissa Parker
• Pat Machalinski, DMD, PC

• Skilled Nursing Facility in Arlington, MA
• Providers in Arlington, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.