Active NPI
Nesconset Operating LLC
- Adult Day Care Clinic/Center
- Middle Island, NY
National Provider Identifier
1114547890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- NESCONSET OPERATING LLC
- Practice address
- 45 Rocky Point Rd
Middle Island, NY 11953-1218 - Phone
- (631) 924-0700
- NPI assigned
- Apr 22, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
45 Rocky Point Rd
Middle Island, NY 11953-1218
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 LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Central Islip, NY
- NPI 1013537786
-
- Skilled Nursing Facility
- Nesconset, NY
- NPI 1518485952
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": "1114547890",
"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": "45 ROCKY POINT RD",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119531218",
"telephone_number": "631-924-0700"
}
],
"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 Middle Island, 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.