The Society of St. Johnland

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE SOCIETY OF ST. JOHNLAND

Practice address

395 Sunken Meadow Rd
Kings Park, NY 11754-1000

Phone

(631) 663-2450

Fax

(631) 663-2100

NPI assigned

Feb 10, 2016

Organization subpart

No

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

Authorized official

Name

Michael Bartolotta

Title

Cfo

Phone

(631) 663-2450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1275991846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SUNKEN MEADOW RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117541000",
            "telephone_number": "631-663-2450",
            "fax_number": "631-663-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 SUNKEN MEADOW RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117541000",
            "telephone_number": "631-663-2450",
            "fax_number": "631-663-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOCIETY OF ST. JOHNLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "BARTOLOTTA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-663-2450"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane R Tanzi Afati
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• Lawrence Eugene Taub, MSW
• Kenneth Louis Teape
• Michael Domenick Tenerelli, LMT
• Think Nest Integrative Psychological Services, PLLC
• Melissa Marie Thomas, PMHNP
• Tina Christoffersen Therapy LCSW, P.C.
• Jennifer Linda Tong, M.S, CCC-SLP, TSSLD
• Trailview Audiology, P.C.

• Adult Day Care Clinic/Center in Kings Park, NY
• Providers in Kings Park, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.