Staten Island Care Center

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

02479 Issued in NY

Legal business name

STATEN ISLAND CARE CENTER

Practice address

200 Lafayette Ave
Staten Island, NY 10301-1219

Phone

(718) 448-9000

Fax

(718) 727-2712

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Matis Weinstock, LNHA

Title

Administrator

Phone

(718) 448-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Staten Island Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Staten Island Care Center

  • Skilled Nursing Facility
  • Staten Island, NY
  • NPI 1447248273
  NPD tax ID

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487676649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAFAYETTE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011219",
            "telephone_number": "718-448-9000",
            "fax_number": "718-727-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAFAYETTE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011219",
            "telephone_number": "718-448-9000",
            "fax_number": "718-727-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "MATIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-448-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nursing Home Administrator",
            "state": "NY",
            "license": "02479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00314690",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Staten Island Aid for Retarded Children, Inc
• Staten Island Allergy Office PC
• Staten Island Audiological Services, P.C.
• Staten Island Audiology and Hearing PC
• Staten Island Care Center
• Staten Island Center for Alternative Therapies, LLP
• Staten Island Center for Independent Living Inc.
• Staten Island Chiropractic & Sports Rehab P.C.
• Staten Island Chiropractic Associates, P.C.
• Staten Island Dental Boutique

• Nursing Home Administrator in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Nursing Home Administrator 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.