Niskayuna Operating Company, LLD

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

4662302N Issued in NY

Legal business name

NISKAYUNA OPERATING COMPANY, LLD

Doing business as

Pathways Nursing & Rehabilitation Center

Practice address

1805 Providence Ave
Niskayuna, NY 12309-3923

Phone

(518) 374-2212

Fax

(518) 374-4330

NPI assigned

Aug 11, 2014

Last updated

Aug 11, 2014By 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

Mrs. Tana Dawn Gaylord

Title

Executive Assistant

Phone

(518) 374-2212

Specialties & licenses 1

Addresses

Other names 1

• Pathways Nursing & Rehabilitation Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Highgate LTC Mangement LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Highgate LTC Management LLC

  dba Northwoods Rehab and ECF at Hilltop

  • Skilled Nursing Facility
  • Niskayuna, NY
  • NPI 1962498246
  NPD tax ID
• Niskayuna Operating Co LLC

  • Skilled Nursing Facility
  • Niskayuna, NY
  • NPI 1356657423
  NPD tax ID

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1326457714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PROVIDENCE AVENUE",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-374-2212",
            "fax_number": "518-374-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PROVIDENCE AVE",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123093923",
            "telephone_number": "518-374-2212",
            "fax_number": "518-374-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISKAYUNA OPERATING COMPANY, LLD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "GAYLORD",
        "authorized_official_first_name": "TANA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "518-374-2212",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "4662302N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Coughlin Niedbalec, M.D.
• Niskayuna Central School District
• Niskayuna Clare Bridge Operator, Inc. (Brookdale East Niskayuna)
• Niskayuna Life Chiropractic
• Niskayuna Operating Co LLC
• Jeffrey Scott Nissen, PHARM.D.
• Northeast Speech-Language Pathology, P.C. (Northeast Mobile Swallow Imaging)
• Northend Medical Practice PLLC
• Numeriano Go, M.D., P.C.
• Allison Laird Nunez, LCSW

• Pediatric Skilled Nursing Facility in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.