Sentinel of Mohegan Lake LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SENTINEL OF MOHEGAN LAKE LLC

Practice address

3441 Lexington Ave
Mohegan Lake, NY 10547-1278

Phone

(914) 528-3512

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Gregg Rosen

Title

Coo

Phone

(845) 363-8168

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1114587243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROUTE 304",
            "city": "BARDONIA",
            "state": "NY",
            "postal_code": "109542050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 LEXINGTON AVE",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471278",
            "telephone_number": "914-528-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL OF MOHEGAN LAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "845-363-8168"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina G Santibanez, NPP
• Gina Scalici
• Dana Scanapieco, M.S. CCC-SLP
• Elizabeth Schilling, PH.D.
• Fara A Schueller, MSED
• George Sepiashvili, DDS
• Ojas V Shah, D.D.S.
• Susan Shapiro, PH.D.
• Shoprite Supermarkets, Inc
• Shrub Oak International School, LLC

• All providers in Mohegan Lake, NY
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.