Organization Active NPI

The Palm Gardens Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1295772010
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001335N Issued in NY
Legal business name
THE PALM GARDENS CENTER FOR NURSING AND REHABILITATION
Practice address
615 Avenue C
Brooklyn, NY 11218-4101
Phone
(718) 633-3300
Fax
(718) 732-3243
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. Shimon Lefkowitz
Title
Ceo
Phone
(718) 633-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 7001335N NY
Skilled Nursing Facility 314000000X 7001335N NY Primary

Addresses

Primary practice location

615 Avenue C
Brooklyn, NY 11218-4101

Mailing address

615 Avenue C
Brooklyn, NY 11218-4101
Phone (718) 633-3300

Other identifiers 2

IdentifierTypeStateIssuer
01539477MedicaidNY
00309586MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Palm Gardens Adult Day Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1295772010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 AVENUE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184101",
            "telephone_number": "718-633-3300",
            "fax_number": "718-732-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 AVENUE C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184101",
            "telephone_number": "718-633-3300",
            "fax_number": "718-732-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALM GARDENS CENTER FOR NURSING AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LEFKOWITZ",
        "authorized_official_first_name": "SHIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-633-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "7001335N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001335N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01539477",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.