Amsterdam House Continuing Care Retirement Community, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC.

Doing business as

Amsterdam at Harborside

Practice address

300 E Overlook
Port Washington, NY 11050-4722

Phone

(516) 472-6632

Fax

(516) 472-6690

NPI assigned

Jan 19, 2010

Last updated

Oct 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Pancirer

Title

Sr. Vice-President & Chief Fiancial

Phone

(212) 575-3322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amsterdam at Harborside Doing business as

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1245561075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E OVERLOOK",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504722",
            "telephone_number": "516-472-6632",
            "fax_number": "516-472-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E OVERLOOK",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504722",
            "telephone_number": "516-472-6632",
            "fax_number": "516-472-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "PANCIRER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SR. VICE-PRESIDENT & CHIEF FIANCIAL",
        "authorized_official_telephone_number": "212-575-3322",
        "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": "03343611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amsterdam at Harborside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Alexander, RPH
• Teresa L Alfano, NP-C
• Roni-Sue Allen, LMFT
• Argelis Alvayero
• Joan Ambrosio, LCSW-R
• Zulmary Andino, PT, DPT
• Jorge Alberto Andrade, D.D.S.
• Marie J. Anglade, RN
• Nicholas Anthony Ansanelli, RPH.
• Star Anthony, D.C.

• Skilled Nursing Facility in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.