NPIMap

Organization Active NPI

Isabella Geriatric Center

  • Skilled Nursing Facility
  • New York, NY
National Provider Identifier
1629003892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7002352N Issued in NY
Legal business name
ISABELLA GERIATRIC CENTER
Practice address
515 Audubon Ave
Attn: Finance
New York, NY 10040-3403
Phone
(212) 342-9309
Fax
(212) 781-6303
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Kator
Title
President Ceo
Phone
(212) 342-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7002352N NY Primary

Addresses

Primary practice location

515 Audubon Ave
Attn: Finance
New York, NY 10040-3403

Mailing address

515 Audubon Ave
Attn: Finance
New York, NY 10040-3403
Phone (212) 342-9309

Other identifiers 1

IdentifierTypeStateIssuer
02099461MedicaidNY

Other names 1

  • Isabella Adult Day Health Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Isabella Geriatric Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629003892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 AUDUBON AVE",
            "address_2": "ATTN: FINANCE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403403",
            "telephone_number": "212-342-9309",
            "fax_number": "212-781-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 AUDUBON AVE",
            "address_2": "ATTN: FINANCE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403403",
            "telephone_number": "212-342-9309",
            "fax_number": "212-781-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELLA GERIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "212-342-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7002352N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02099461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isabella Adult Day Health Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • 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.