Organization Active NPI

Palliative Care Medical Services PC

  • Specialist
  • Woodbury, NY
National Provider Identifier
1619261625
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
186961 Issued in NY
Legal business name
PALLIATIVE CARE MEDICAL SERVICES PC
Practice address
99 Sunnyside Blvd
C/O Hospice Care Network
Woodbury, NY 11797-2946
Phone
(516) 832-7100
Fax
(516) 224-6576
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Ms. Susan Mauro
Title
SVP Finance
Phone
(516) 224-6411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 186961 NY Primary

Addresses

Primary practice location

99 Sunnyside Blvd
C/O Hospice Care Network
Woodbury, NY 11797-2946

Mailing address

99 Sunnyside Blvd
C/O Hospice Care Network
Woodbury, NY 11797-2946
Phone (516) 832-7100

National Provider Directory

National Provider Directory

Locations

99 Sunnyside Blvd
Woodbury, NY 11797
Phone (516) 832-7100

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1619261625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SUNNYSIDE BLVD",
            "address_2": "C/O HOSPICE CARE NETWORK",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972946",
            "telephone_number": "516-832-7100",
            "fax_number": "516-224-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SUNNYSIDE BLVD",
            "address_2": "C/O HOSPICE CARE NETWORK",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972946",
            "telephone_number": "516-832-7100",
            "fax_number": "516-224-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE CARE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SVP FINANCE",
        "authorized_official_telephone_number": "516-224-6411",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "186961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.