Private Self Care Provider

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

PRIVATE SELF CARE PROVIDER

Practice address

53 5TH St
Valley Stream, NY 11581-1210

Phone

(347) 267-2991

NPI assigned

Oct 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Jenny P Telfort

Title

RN

Phone

(347) 267-2991

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1609128487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 5TH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 5TH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811210",
            "telephone_number": "347-267-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE SELF CARE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "TELFORT",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "347-267-2991",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prince Center for the Visually Impaired
• Lucien Prince, MT
• Robin Prince
• Prism Healthcure Incorporated
• Tzirel Leah Pritzker, BCBA
• Pro Touch Physical Therapy PLLC
• Shellon Pryce, LPN
• Christina Diana Pugliese, PT, DPT
• Vani Gujjula Punyala, PHARMACIST
• Nicole Purdy

• Pediatric Skilled Nursing Facility in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.