Organization Active NPI

Seaview Manor

  • Assisted Living Facility
  • Far Rockaway, NY
National Provider Identifier
1205436037
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SEAVIEW MANOR
Practice address
210 Beach 47TH St
Far Rockaway, NY 11691-1100
Phone
(718) 471-1311
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Daniel Zeidman
Title
Cfo
Phone
(718) 471-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

210 Beach 47TH St
Far Rockaway, NY 11691-1100

Mailing address

210 Beach 47TH St
Far Rockaway, NY 11691-1100

Other identifiers 1

IdentifierTypeStateIssuer
04480686MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dan@essentialseniorcare.com

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
33D2222789Seaview Manor LLC210 Beach 47TH St, Far Rockaway, NY 11691Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1205436037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BEACH 47TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BEACH 47TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911100",
            "telephone_number": "718-471-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAVIEW MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "ZEIDMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-471-1311"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04480686",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dan@essentialseniorcare.com",
            "affiliation": "N",
            "endpointDescription": "encryted email",
            "address_1": "210 Beach 47th St",
            "city": "Far Rockaway",
            "state": "NY",
            "country_code": "US",
            "postal_code": "116911100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.