Woodbury Center for Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2952303N Issued in NY

Legal business name

WOODBURY CENTER FOR HEALTH CARE

Practice address

8533 Jericho Tpke
Woodbury, NY 11797-1804

Phone

(516) 692-4100

Fax

(516) 692-7571

NPI assigned

Oct 5, 2005

Last updated

Feb 18, 2010By 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

Mr. Frederick E. White

Title

Administrator

Phone

(516) 692-4100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1336136217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8533 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804",
            "telephone_number": "516-692-4100",
            "fax_number": "516-692-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8533 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804",
            "telephone_number": "516-692-4100",
            "fax_number": "516-692-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY CENTER FOR HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-692-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2952303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Woodbury, NY
• Providers in Woodbury, 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 Feb 18, 2010; 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.