Jansen Road Nursing and Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5522302N Issued in NY

Legal business name

JANSEN ROAD NURSING AND REHABILITATION CENTER LLC

Practice address

1 Jansen Rd
New Paltz, NY 12561-3811

Phone

(845) 255-0830

Fax

(845) 255-0855

NPI assigned

Jun 19, 2006

Organization subpart

Yes

Parent organization

DMN MANAGEMENT SERVICES , LLCAs reported in NPPES

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

Authorized official

Name

Patrick Martone

Title

Ceo

Phone

(518) 346-9640

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• THE MOUNTAIN VIEW NURSING AND REHABILITATION CENTRE Doing business as

Part of

Stanton Rehab Centre

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1508801903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JANSEN RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613811",
            "telephone_number": "845-255-0830",
            "fax_number": "845-255-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JANSEN RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613811",
            "telephone_number": "845-255-0830",
            "fax_number": "845-255-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANSEN ROAD NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DMN MANAGEMENT SERVICES , LLC",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "MARTONE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-346-9640"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5522302N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10054923",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "302056",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000400690009",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "956381",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311064",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "007991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MOUNTAIN VIEW NURSING AND REHABILITATION CENTRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary Michael Jacobson, LCSW, CASAC
• Jaikumar Ravunniarath Medical P.C.
• Anna Aurora Jakubek, FNP-BC
• Shannon H James, RPH
• Richard M Janof, DC
• Denise Katherine Jelley, LCSW R
• Jemma Schwartz LCSW PLLC
• Jennifer Stack Dietitian PLLC
• Florence L Jerdan, RN, PHD
• Judy Joffee, CNM

• Skilled Nursing Facility in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.