Miriam Rozenberg Et Al Lily Pond Nursing Home

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

314000000X Issued in NY

Legal business name

MIRIAM ROZENBERG ET AL LILY POND NURSING HOME

Practice address

150 Lily Pond Ave
Staten Island, NY 10305-4608

Phone

(718) 981-5300

Fax

(718) 727-8103

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward C Eronini, NYS LNHA

Title

Administrator

Phone

(718) 981-5300

Specialties & licenses 1

Addresses

Other names 1

• LILY POND NURSING HOME Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claire William Attia, MD

  • Psychiatry Physician
  • Staten Island, NY
  • NPI 1144307174
  NPD (past)
• Moon Lee, PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1528072600
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1184834723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LILY POND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054608",
            "telephone_number": "718-981-5300",
            "fax_number": "718-727-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LILY POND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054608",
            "telephone_number": "718-981-5300",
            "fax_number": "718-727-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM ROZENBERG ET AL LILY POND NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "ERONINI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-981-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NYS LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "314000000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LILY POND NURSING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julianne Miranda
• Luis Da Graca Miranda, MD
• Marjorie G Miranda
• Janna Mirazita, LMSW
• Miriam Gordon Pediatric NP PC
• Brian F Mirman, DMD
• Boris Mirochnik
• Leo Mirochnik, PTA
• Alena Mironova, LMSW
• Marina Mironova, NP

• Nursing Facility/Intermediate Care Facility in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Nursing Facility/Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.