Kenneth Gaul II, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

5151313N Issued in NY

Legal business name

KENNETH GAUL II, LLC

Practice address

6 Frowein Rd
Center Moriches, NY 11934-1604

Phone

(631) 878-4400

Fax

(631) 878-6865

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Miss Madeline C Butler, LNHA

Title

Administrator

Phone

(631) 878-4400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1194893719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FROWEIN RD",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341604",
            "telephone_number": "631-878-4400",
            "fax_number": "631-878-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FROWEIN RD",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119341604",
            "telephone_number": "631-878-4400",
            "fax_number": "631-878-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH GAUL II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-878-4400",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "5151313N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311399",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Kamer, LPN
• Ashley Kaminski, LPN
• Sophia L. Kary, PH.D.
• Madison Grace Kayel
• Danielle Kennedy
• King Kullen Pharmacies Corp (King Kullen Pharmacy)
• Candice King, NP
• Barbara Koska, MS, CCC-SLP
• Maureen Mary Laclair, COTA
• Michael Lafauci, RPH

• Nursing Facility/Intermediate Care Facility in Center Moriches, NY
• Providers in Center Moriches, 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 Jan 28, 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.