Gail Matheson

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

215034 Issued in NY

Legal business name

GAIL MATHESON

Practice address

259-26 145TH Ave
Rosedale, NY 11422

Phone

(917) 459-0596

NPI assigned

Feb 23, 2012

Organization subpart

No

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

Authorized official

Name

Gail Matheson

Title

LPN

Phone

(917) 459-0596

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1174896062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25926 145TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223302",
            "telephone_number": "917-459-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259-26 145TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "917-459-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL MATHESON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MATHESON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "917-459-0596"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "215034",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "215034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.