Vindobona Operating Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VINDOBONA OPERATING GROUP LLC

Practice address

6012 Jefferson Blvd
Frederick, MD 21703-6953

Phone

(301) 371-7160

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Anshel Niederman

Title

Manager

Phone

(929) 900-2005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1174186209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 PARK AVE STE B04",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051670",
            "telephone_number": "917-682-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 JEFFERSON BLVD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036953",
            "telephone_number": "301-371-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINDOBONA OPERATING GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "NIEDERMAN",
        "authorized_official_first_name": "ANSHEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "929-900-2005"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.