Organization Active NPI

Elant at Newburgh, Inc.

  • Skilled Nursing Facility
  • Newburgh, NY
National Provider Identifier
1518022813
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3502304N Issued in NY
Legal business name
ELANT AT NEWBURGH, INC.
Practice address
172 Meadow Hill Road
Newburgh, NY 12550-3878
Phone
(845) 360-1200
Fax
(845) 291-3833
NPI assigned
Dec 27, 2006
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Mr. Todd A. Whitney
Title
Executive VP, Cfo
Phone
(845) 360-1361

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NY
Skilled Nursing Facility 314000000X 3502304N NY Primary

Addresses

Primary practice location

172 Meadow Hill Road
Newburgh, NY 12550-3878

Mailing address

46 Harriman Drive
Goshen, NY 10924-2410
Phone (845) 360-1200

Other identifiers 1

IdentifierTypeStateIssuer
02182901MedicaidNY

National Provider Directory

National Provider Directory

Locations

172 Meadow Hill Rd
Newburgh, NY 12550
Phone (410) 499-1437

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1518022813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HARRIMAN DRIVE",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242410",
            "telephone_number": "845-360-1200",
            "fax_number": "845-291-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 MEADOW HILL ROAD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503878",
            "telephone_number": "845-360-1200",
            "fax_number": "845-291-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANT AT NEWBURGH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE VP, CFO",
        "authorized_official_telephone_number": "845-360-1361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3502304N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02182901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.