Tenbc Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5567301N Issued in NY

Legal business name

TENBC INC

Doing business as

Ten Broeck Commons

Practice address

1 Commons Dr
Lake Katrine, NY 12449-5149

Phone

(845) 336-6666

Fax

(845) 336-4014

NPI assigned

Sep 14, 2006

Last updated

Dec 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn Romaguera

Title

Administrator

Phone

(845) 336-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ten Broeck Commons Doing business as

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1316042120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE COMMONS DR",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495149",
            "telephone_number": "845-336-6666",
            "fax_number": "845-336-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COMMONS DR",
            "city": "LAKE KATRINE",
            "state": "NY",
            "postal_code": "124495149",
            "telephone_number": "845-336-6666",
            "fax_number": "845-336-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENBC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "ROMAGUERA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-336-6666",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5567301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01403185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ten Broeck Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Maureen Stanton
• Elizabeth Victoria Stone, LPN
• Dennis Styles, PA
• Theresa Paulette Sullivan, AUD
• Kinneret Sussman
• The Institute for Family Health
• Melissa M Thomson, R.N.
• Lauryn Rae Tortora
• Raisa Tsvaygenbaum
• Timothy J Tufankjian, DDS

• Skilled Nursing Facility in Lake Katrine, NY
• Providers in Lake Katrine, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.