Organization Active NPI

Masonicare at Newtown Inc

  • Skilled Nursing Facility
  • Newtown, CT
National Provider Identifier
1629061304
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1020C Issued in CT
Legal business name
MASONICARE AT NEWTOWN INC
Practice address
139 Toddy Hill Rd
Newtown, CT 06470
Phone
(203) 364-3110
NPI assigned
Aug 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Mr. Thomas Gutner
Title
President
Phone
(203) 364-3110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1020C CT Primary

Addresses

Primary practice location

139 Toddy Hill Rd
Newtown, CT 06470

Mailing address

139 Toddy Hill Rd
Newtown, CT 06470
Phone (203) 364-3110

Other identifiers 1

IdentifierTypeStateIssuer
000010207MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1629061304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 TODDY HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "06470",
            "telephone_number": "203-364-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 TODDY HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "06470",
            "telephone_number": "203-364-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASONICARE AT NEWTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "GUTNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-364-3110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "1020C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000010207",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.