Ucp Bayville Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

8077440 Issued in NY

Legal business name

UCP BAYVILLE INC.

Practice address

85 Bayville Ave
Bayville, NY 11709-1629

Phone

(516) 628-3500

Fax

(516) 628-1121

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul Lowry

Title

Administrator

Phone

(516) 628-3500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427062488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BAYVILLE AVE",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117091629",
            "telephone_number": "516-628-3500",
            "fax_number": "516-628-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BAYVILLE AVE",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117091629",
            "telephone_number": "516-628-3500",
            "fax_number": "516-628-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCP BAYVILLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-628-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "8077440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Karen Smarrelli, MSW LCSW
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• Phillip Steiner, M.D.
• Alison Beth Sullivan, PH.D.
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• Sofia Valderrama
• Jessie Valentine, REGISTERED DIETITIAN
• Jacqueline Valentino Sullivan, PHD
• Charles J Valicenti, DR

• Nursing Facility/Intermediate Care Facility in Bayville, NY
• Providers in Bayville, NY by specialty
• Nursing Facility/Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.