Middletown Park Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3501303N Issued in NY

Legal business name

MIDDLETOWN PARK MANOR

Practice address

121 Dunning Rd
Middletown, NY 10940-2243

Phone

(845) 343-0801

Fax

(845) 343-1838

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Pamela Banker Mann

Title

Administrator

Phone

(845) 343-0801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Park Manor Rehabilitation and Health Care Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul T Aquino, PHD

  • Clinical Psychologist
  • Wappingers Falls, NY
  • NPI 1336247394
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629064282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DUNNING RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402243",
            "telephone_number": "845-343-0801",
            "fax_number": "845-343-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DUNNING RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402243",
            "telephone_number": "845-343-0801",
            "fax_number": "845-343-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN PARK MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANKER MANN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-343-0801"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3501303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00720989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Manor Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Middletown Medical PC
• Middletown Medical Services PC
• Middletown Medical Services PC
• Middletown Mental Health Clinic
• Middletown Nephrology PLLC
• Middletown Physical Medicine & Rehabilitation, P.C.
• Middletown Physical Therapy, P.C
• Middletown Psychiatric Center
• Middletown Psychiatric Center
• Middletown RX Corporation

• Skilled Nursing Facility in Middletown, NY
• Providers in Middletown, NY by specialty
• Skilled Nursing 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.