Rensselaer Operating Co LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4152302N Issued in NY

Legal business name

RENSSELAER OPERATING CO LLC

Practice address

284 Troy Rd
Rensselaer, NY 12144-9474

Phone

(518) 286-1621

Fax

(518) 286-1691

NPI assigned

Aug 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mathew Varghese, MSN, GNP, LNHA

Title

Executive Director

Phone

(518) 374-2212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Felix Osabohien Oduwa

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1265527493
  NPD (past)

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1275849341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 TROY RD",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449474",
            "telephone_number": "518-286-1621",
            "fax_number": "518-286-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 TROY RD",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449474",
            "telephone_number": "518-286-1621",
            "fax_number": "518-286-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENSSELAER OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "VARGHESE",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-374-2212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, GNP, LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4152302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01073376",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Raymond, RN
• Keith Alan Rebehn, MD
• Ada Regan
• David Allan Reilly, LPN
• Rensselaer City School District
• Rensselaer Volunteer Ambulance Service Inc
• Aliehtys Reyes Montoya
• Chaston Alexander Richardson, LMSW
• Amber Marie Riling, FNP-BC
• Kathryn Tara Rimawi, OT

• Skilled Nursing Facility in Rensselaer, NY
• Providers in Rensselaer, 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 Aug 26, 2010; 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.