Organization Active NPI

The Rosalind and Joseph Gurwin Jewish Geriatric Center of Long Island

  • Adult Day Care Clinic/Center
  • Commack, NY
National Provider Identifier
1447491725
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
5153307N Issued in NY
Legal business name
THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND
Practice address
68 Hauppauge Rd
Commack, NY 11725-4403
Phone
(631) 715-2600
Fax
(631) 715-2908
NPI assigned
Mar 16, 2009
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Mr. Louis A Viteritti Jr.
Title
Chief Financial Officer
Phone
(631) 715-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 5153307N NY Primary

Addresses

Primary practice location

68 Hauppauge Rd
Commack, NY 11725-4403

Mailing address

68 Hauppauge Rd
Commack, NY 11725-4403
Phone (631) 715-2600

Other identifiers 2

IdentifierTypeStateIssuer
01208882MedicaidNY
03084746MedicaidNY

Other names 1

  • Adult Day Care Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Gurwin Jewish Geriatric C5 organizations share this tax ID, including this one
Part of
Gurwin Jewish Geriatric C

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1447491725",
    "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": "631-715-2600",
            "fax_number": "631-715-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HAUPPAUGE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254403",
            "telephone_number": "631-715-2600",
            "fax_number": "631-715-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ROSALIND AND JOSEPH GURWIN JEWISH GERIATRIC CENTER OF LONG ISLAND",
        "enumeration_date": "2009-03-16",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "VITERITTI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-715-2511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "5153307N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01208882",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03084746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Care Program",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adult Day Care Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 10, 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.