NPIMap

Organization Active NPI

Parker Jewish Institute for Health Care and Rehabilitation

Doing business as The Parker Jewish Geriatric Inst

  • Long Term Care Pharmacy
  • New Hyde Park, NY
National Provider Identifier
1306882857
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
013672 Issued in NY
Legal business name
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION
Doing business as
The Parker Jewish Geriatric Inst
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone
(718) 289-2272
Fax
(718) 289-2274
NPI assigned
Jun 22, 2006
Last updated
Dec 17, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2015

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

Authorized official

Name
Robert M Werner
Title
Sr VP Finance/Cfo
Phone
(718) 289-2354

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 013672 NY Primary

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1436

Mailing address

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2272

Other identifiers 2

IdentifierTypeStateIssuer
00313511MedicaidNY
3336662OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • THE PARKER JEWISH GERIATRIC INST Doing business as

National Provider Directory

National Provider Directory
Part of
Parker Jewish Ger Inst

Locations

1 Delaware Dr
Ste 104
New Hyde Park, NY 11042
Phone (516) 586-1511

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1306882857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2272",
            "fax_number": "718-289-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2272",
            "fax_number": "718-289-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP FINANCE/CFO",
        "authorized_official_telephone_number": "718-289-2354"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "013672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313511",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3336662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PARKER JEWISH GERIATRIC INST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.