Avalon Gardens

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

195281 Issued in NY

Legal business name

AVALON GARDENS

Practice address

7 Route 25a
Smithtown, NY 11787-1626

Phone

(631) 724-2200

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Akiva Fogel Fogel

Title

Administrator

Phone

(631) 724-2200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1629339478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SYMPHONY DR",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551318",
            "telephone_number": "631-642-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871626",
            "telephone_number": "631-724-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_middle_name": "FOGEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "631-724-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "195281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Services Company USA, LLC
• Evangelia Lila Augoustiniatos, MD
• Brian D Ault, YT, LMT
• Molly J Aupperle, LCSW
• Loseca Austral, LMSW
• Avalon Gardens Adult Day Health Care
• Avalon Gardens Rehab and Health Care Center LLC
• Avalon Gardens Rehabilitation & Health Care Ctr LLC
• Avalon Gardens Rehabilitation and Health Care Center,LLC
• Nida Azamy

• Pediatric Skilled Nursing Facility in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.