Organization Active NPI

The Eliot Management Group LLC

  • Assisted Living Facility
  • Middletown, NY
National Provider Identifier
1194069484
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
540-F-028 Issued in NY
Legal business name
THE ELIOT MANAGEMENT GROUP LLC
Practice address
12 John St
Middletown, NY 10940-4900
Phone
(845) 342-2077
NPI assigned
Nov 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Neil Zelman
Title
Coo
Phone
(845) 357-7387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 540-F-028 NY Primary

Addresses

Primary practice location

12 John St
Middletown, NY 10940-4900

Mailing address

12 College Rd
Monsey, NY 10952-2821
Phone (845) 357-7387

Other names 1

  • The Eliot at Erie Station Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2046263The Eliot at Erie Station Lhcsa12 John Street, Middletown, NY 10940Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

12 College Rd
Monsey, NY 10952
Phone (718) 543-6733

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1194069484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COLLEGE RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522821",
            "telephone_number": "845-357-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 JOHN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404900",
            "telephone_number": "845-342-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELIOT MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "ZELMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "845-357-7387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "540-F-028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eliot at Erie Station",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.