Organization Active NPI

Rockland County Chapter Nysarc

  • Nursing Facility/Intermediate Care Facility
  • Congers, NY
National Provider Identifier
1346469285
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
ROCKLAND COUNTY CHAPTER NYSARC
Practice address
70 N Harrison Ave
Congers, NY 10920-1946
Phone
(845) 267-2500
Fax
(845) 267-2109
NPI assigned
Apr 25, 2007
Organization subpart
Yes
Parent organization
ROCKLAND COUNTY CHAPTER NYSARCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Mr. Carmine Marchionda
Title
Executive Director
Phone
(845) 267-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

70 N Harrison Ave
Congers, NY 10920-1946

Mailing address

25 Hemlock Dr
Congers, NY 10920-1401
Phone (845) 267-2500

Other identifiers 1

IdentifierTypeStateIssuer
00888537MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Rockland County Chapter Nysarc9 organizations share this tax ID, including this one
Part of
Rockland County Chapter Nysarc

Other organizations with this tax ID 8

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

Locations

70 N Harrison Ave
Congers, NY 10920
Phone (845) 267-2500

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1346469285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HEMLOCK DR",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201401",
            "telephone_number": "845-267-2500",
            "fax_number": "845-267-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N HARRISON AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201946",
            "telephone_number": "845-267-2500",
            "fax_number": "845-267-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND COUNTY CHAPTER NYSARC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKLAND COUNTY CHAPTER NYSARC",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "MARCHIONDA",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-267-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888537",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Congers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.