Active NPI
County of Rockland
- Skilled Nursing Facility
- Pomona, NY
National Provider Identifier
1376647826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 4353000N
- Legal business name
- COUNTY OF ROCKLAND
- Doing business as
- SUMMIT PARK NURSING CARE CENTER
- Practice address
- 50 Sanitorium Rd
Pomona, NY 10970-3555 - Phone
- (845) 364-2000
- Fax
- (845) 364-2719
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard J Maloney, MPH
- Title
- Commissioner of Hospitals
- Phone
- (845) 364-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 4353000N | NY | Primary |
Addresses
Primary practice location
50 Sanitorium Rd
Pomona, NY 10970-3555
Mailing address
50 Sanitorium Rd
Pomona, NY 10970-3555
Phone (845) 364-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00314118 | Medicaid | NY |
Other names 1
- SUMMIT PARK NURSING CARE CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040329000536 | NY | Part B Supplier - Clinic/Group Practice | 2769374206 |
Receives reassigned benefits from 12 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pomona, NY |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health or Welfare Agency
- Pomona, NY
- NPI 1881789758
O20040329000536
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245283200000",
"number": "1376647826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SANITORIUM RD",
"city": "POMONA",
"state": "NY",
"postal_code": "109703555",
"telephone_number": "845-364-2000",
"fax_number": "845-364-2719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SANITORIUM RD",
"city": "POMONA",
"state": "NY",
"postal_code": "109703555",
"telephone_number": "845-364-2000",
"fax_number": "845-364-2719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF ROCKLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2009-06-18",
"status": "A",
"authorized_official_last_name": "MALONEY",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COMMISSIONER OF HOSPITALS",
"authorized_official_telephone_number": "845-364-2700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "4353000N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00314118",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SUMMIT PARK NURSING CARE CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.