New Samaritan Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2132C Issued in CT

Legal business name

NEW SAMARITAN CORPORATION

Doing business as

Mansfield Center for Nursing & Rehabilitation

Practice address

100 Warren Circle
Storrs, CT 06268

Phone

(860) 487-2300

Fax

(860) 487-0022

NPI assigned

Jul 28, 2005

Last updated

May 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James A. Fidanza

Title

Administrator

Phone

(860) 487-2300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mansfield Center for Nursing & Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1497755870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WARREN CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682074",
            "telephone_number": "860-487-2300",
            "fax_number": "860-487-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WARREN CIRCLE",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "06268",
            "telephone_number": "860-487-2300",
            "fax_number": "860-487-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SAMARITAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "FIDANZA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "860-487-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2132C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000021329",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Center for Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mansfield Center for Nursing & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan B Munroe, MA
• Catherine Mydosh
• Nicholas Nelson
• Kathryn Ora Nettleton, PAC
• New England Endodontics PC (Storrs Endodontics & Periodontics)
• Rebecca Lee Nguyen, MD
• North Star Foundation
• Colleen Anne Norton, DMD
• Michael Olzinski, RPH, PHARMD
• Jon David Pedersen Jr.

• Skilled Nursing Facility in Storrs, CT
• Providers in Storrs, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.