Organization Active NPI

Riverdale Nursing Home Inc

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1609976026
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1241 Issued in NY
Legal business name
RIVERDALE NURSING HOME INC
Practice address
641 W 230TH St
Bronx, NY 10463-3309
Phone
(732) 446-1804
Fax
(732) 446-0999
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Mrs. Beth Goldman
Title
Controller
Phone
(732) 446-1804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1241 NY Primary

Addresses

Primary practice location

641 W 230TH St
Bronx, NY 10463-3309

Mailing address

104 Pension Road
Englishtown, NJ 07726
Phone (732) 446-1804

Other identifiers 1

IdentifierTypeStateIssuer
311459MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1609976026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PENSION ROAD",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-446-1804",
            "fax_number": "732-446-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 W 230TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633309",
            "telephone_number": "732-446-1804",
            "fax_number": "732-446-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERDALE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "732-446-1804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.