Organization Active NPI

Oak Hollow NC Corp.

  • Skilled Nursing Facility
  • Middle Island, NY
National Provider Identifier
1194718262
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5151315N Issued in NY
Legal business name
OAK HOLLOW NC CORP.
Practice address
49 Oakcrest Ave
Middle Island, NY 11953-1415
Phone
(631) 924-8820
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Jacob Dimant, M.D.NPI 1831182708
Title
President
Phone
(212) 572-0920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5151315N NY Primary

Addresses

Primary practice location

49 Oakcrest Ave
Middle Island, NY 11953-1415

Mailing address

49 Oakcrest Ave
Middle Island, NY 11953-1415
Phone (631) 924-8820

Other identifiers 1

IdentifierTypeStateIssuer
01995528MedicaidNY

Other names 1

  • Oak Hollow Nursing Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1194718262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OAKCREST AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531415",
            "telephone_number": "631-924-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OAKCREST AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531415",
            "telephone_number": "631-924-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HOLLOW NC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "DIMANT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-572-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5151315N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01995528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Hollow Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middle Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.