NPIMap

Organization Active NPI

The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island

Doing business as Gurwin Jewish Geriatric Center

  • Long Term Care Pharmacy
  • Commack, NY
National Provider Identifier
1386750321
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
019863 Issued in NY
Legal business name
THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND
Doing business as
Gurwin Jewish Geriatric Center
Gurwin Jewish Nursing & Rehabilitation Center
Practice address
68 Hauppauge Rd
Commack, NY 11725
Phone
(631) 715-2661
Fax
(631) 715-2917
NPI assigned
Aug 22, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Louis Viteritti
Title
Chief Financial Officer
Phone
(631) 715-2511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 019863 NY Primary

Addresses

Primary practice location

68 Hauppauge Rd
Commack, NY 11725

Mailing address

68 Hauppauge Rd
Commack, NY 11725-4403
Phone (631) 715-2661

Other identifiers 2

IdentifierTypeStateIssuer
2057542OtherPK
01477196MedicaidNY

Other names 2

  • Gurwin Jewish Geriatric Center Doing business as
  • Gurwin Jewish Nursing & Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180829004144 NY DME Supplier - Pharmacy 4486545654 Practice locations: Commack, NY
O20210405001584 NY Part B Supplier - Pharmacy 4486545654 Practice locations: Commack, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
The Rosalind and Joseph Gurwin Jewi68 Hauppauge Rd, Commack, NY 11725-4403(631) 715-2518 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

5036 Jericho Tpke
Ste 202
Commack, NY 11725
Phone (631) 387-2160

330 Conklin St
Farmingdale, NY 11735
Phone (631) 715-8600

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1386750321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HAUPPAUGE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254403",
            "telephone_number": "631-715-2661",
            "fax_number": "631-715-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HAUPPAUGE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "631-715-2661",
            "fax_number": "631-715-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "VITERITTI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-715-2511"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NY",
            "license": "019863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2057542",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01477196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gurwin Jewish Geriatric Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gurwin Jewish Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.