Crestviewalp

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

800F129 Issued in NY

Legal business name

CRESTVIEWALP

Practice address

150 Old Saw Mill Riv Rd
Hawthorne, NY 10532-1515

Phone

(914) 769-1762

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By 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

Azzy Reckess

Title

Operator

Phone

(845) 462-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1558764498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PINE TREE DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126035224",
            "telephone_number": "845-462-4000",
            "fax_number": "845-462-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OLD SAW MILL RIV RD",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321515",
            "telephone_number": "914-769-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEWALP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "RECKESS",
        "authorized_official_first_name": "AZZY",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "845-462-4000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "800F129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Hall Cornelio, MSED
• Dana Rose Costabile, M.S. OTR/L
• David J Costabile, MD
• Katie Allison Coughlin, PHARMD
• Angela Coultman, MD
• Stephanie Cristofano-Casella, MD
• Yvette Estel Cruz
• Dympna Cuccia, LPN
• Lynnette Cukaj, MD
• Helen Dallas

• Assisted Living Facility in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.