Organization Active NPI

Wingate of Ulster, Inc.

  • Skilled Nursing Facility
  • Highland, NY
National Provider Identifier
1295722510
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
314000000X Issued in NY
Legal business name
WINGATE OF ULSTER, INC.
Practice address
1 Wingate Way
Highland, NY 12528-2143
Phone
(845) 691-6800
Fax
(845) 691-6880
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Ms. Tamilyn M. Levin, ESQ.
Title
Cfo
Phone
(781) 707-9510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 314000000X NY Primary

Addresses

Primary practice location

1 Wingate Way
Highland, NY 12528-2143

Mailing address

63 Kendrick St
Needham, MA 02494-2708
Phone (781) 708-9513

Other identifiers 1

IdentifierTypeStateIssuer
01739142MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1295722510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KENDRICK ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942708",
            "telephone_number": "781-708-9513",
            "fax_number": "781-707-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINGATE WAY",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282143",
            "telephone_number": "845-691-6800",
            "fax_number": "845-691-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGATE OF ULSTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "TAMILYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "781-707-9510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "314000000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01739142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.