Medicaid

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

265009 Issued in NY

Legal business name

MEDICAID

Practice address

329 W Jamaica Ave
Valley Stream, NY 11580-5322

Phone

(516) 812-7614

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By 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

Mrs. Manuella Silne AllonceNPI 1588867089

Title

License Practical Nurse

Phone

(516) 812-7614

Specialties & licenses 1

Addresses

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.

• Manuella Silne-Allonce, LPN

  • Licensed Practical Nurse
  • Valley Stream, NY
  • NPI 1588867089
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609990712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 W JAMAICA AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805322",
            "telephone_number": "516-812-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W JAMAICA AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805322",
            "telephone_number": "516-812-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAID",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SILNE ALLONCE",
        "authorized_official_first_name": "MANUELLA",
        "authorized_official_title_or_position": "LICENSE PRACTICAL NURSE",
        "authorized_official_telephone_number": "516-812-7614",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "265009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne McTiernan, LMSW
• Mary F McTighe, M.S., CF-SLP
• Desiree Meade
• Med Trove Inc.
• Eileen Medetsky, CCC/SLP
• Alondra Ivelisse Medina Perez, MSW
• Iwona Medina
• Samantha J Medina
• Medisync Partners LLC
• Allison A Meehan

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.