Active NPI
Wingate of Ulster, Inc.
- Skilled Nursing Facility
- Highland, NY
National Provider Identifier
1295722510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 314000000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01739142 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.