Organization Active NPI

Professional Medstaff

  • Nursing Care Agency
  • Glen Cove, NY
National Provider Identifier
1336554252
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
PROFESSIONAL MEDSTAFF
Practice address
10 Cedar Swamp Rd
2ND Floor - Suite 1
Glen Cove, NY 11542-3700
Phone
(516) 882-5230
Fax
(516) 277-1620
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Ms. Marisol Garcia
Title
President
Phone
(516) 882-5230

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

10 Cedar Swamp Rd
2ND Floor - Suite 1
Glen Cove, NY 11542-3700

Mailing address

10 Cedar Swamp Rd
2ND Floor - Suite 1
Glen Cove, NY 11542-3700
Phone (516) 882-5230

National Provider Directory

National Provider Directory

Locations

10 Cedar Swamp Rd
Ste 1
Glen Cove, NY 11542
Phone (516) 882-5230

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1336554252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CEDAR SWAMP RD",
            "address_2": "2ND FLOOR - SUITE 1",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423700",
            "telephone_number": "516-882-5230",
            "fax_number": "516-277-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CEDAR SWAMP RD",
            "address_2": "2ND FLOOR - SUITE 1",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115423700",
            "telephone_number": "516-882-5230",
            "fax_number": "516-277-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDSTAFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-882-5230",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.