Organization Active NPI

H a Schachter Ernest Dicker Etal Shore View Nursing Home

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1336134915
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001342N Issued in NY
Legal business name
H A SCHACHTER ERNEST DICKER ETAL SHORE VIEW NURSING HOME
Practice address
2865 Brighton 3Rd St
Brooklyn, NY 11235
Phone
(718) 891-4400
Fax
(718) 891-5031
NPI assigned
Sep 20, 2005
Last updated
Jul 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Mr. Howard Small
Title
Administrator
Phone
(718) 891-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7001342N NY Primary

Addresses

Primary practice location

2865 Brighton 3Rd St
Brooklyn, NY 11235

Mailing address

2865 Brighton 3Rd St
Brooklyn, NY 11235-6762
Phone (718) 891-4400

Other identifiers 1

IdentifierTypeStateIssuer
00310696MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1336134915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356762",
            "telephone_number": "718-891-4400",
            "fax_number": "718-891-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 BRIGHTON 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-891-4400",
            "fax_number": "718-891-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H A SCHACHTER ERNEST DICKER ETAL SHORE VIEW NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-891-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001342N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310696",
            "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 Jul 8, 2014; 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.