Organization Active NPI

Nesconset Nursing Center, LLC

  • Skilled Nursing Facility
  • Nesconset, NY
National Provider Identifier
1235187964
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
NESCONSET NURSING CENTER, LLC
Practice address
100 Southern Blvd.
Nesconset, NY 11767-1797
Phone
(631) 361-8800
Fax
(631) 361-9528
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Mr. Ronald Ranieri
Title
Administrator
Phone
(631) 361-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

100 Southern Blvd.
Nesconset, NY 11767-1797

Mailing address

100 Southern Blvd.
Nesconset, NY 11767-1797
Phone (631) 361-8800

Other identifiers 2

IdentifierTypeStateIssuer
00848733MedicaidNY
00848751MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1235187964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTHERN BLVD.",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671797",
            "telephone_number": "631-361-8800",
            "fax_number": "631-361-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTHERN BLVD.",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671797",
            "telephone_number": "631-361-8800",
            "fax_number": "631-361-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESCONSET NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "RANIERI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-361-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00848733",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00848751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.