Fountainview at College Rd

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FOUNTAINVIEW AT COLLEGE RD

Doing business as

The Springs at Fountainview

Practice address

2000 Fountainview Dr
Monsey, NY 10952-2875

Phone

(845) 426-6757

NPI assigned

Jun 11, 2020

Last updated

Jun 11, 2020By 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. Gedalia Klein, LNHA

Title

Coo

Phone

(845) 629-1204

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Springs at Fountainview Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chandrashekhar Ardesana, PT

  • Physical Therapist
  • Spring Valley, NY
  • NPI 1811230154
  NPD (past)
• Chito A Oclarit

  • Physical Therapist
  • Suffern, NY
  • NPI 1194076646
  NPD (past)
• Barry Sussner, D.P.M.

  • Podiatrist
  • Suffern, NY
  • NPI 1316054760
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1366067738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FOUNTAINVIEW DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522875",
            "telephone_number": "845-426-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOUNTAINVIEW DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522875",
            "telephone_number": "845-426-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAINVIEW AT COLLEGE RD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "GEDALIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "845-629-1204",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs at Fountainview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Jo Fisher
• Golda Leah Fishman
• Jay Fleischer, LMSW
• Yosef Flohr, LMSW
• Flowing Physical Therapy PLLC
• Aryeh Frankel, L.M.S.W.
• Pamela Rachelle Frankel
• Shia Freidman
• Sharon Freitag
• Eugene Frenkel, RPH

• Assisted Living Facility in Monsey, NY
• Providers in Monsey, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.