Nyack Manor Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NYACK MANOR NURSING HOME

Practice address

476 Christian Herald Rd
Valley Cottage, NY 10989-2230

Phone

(845) 268-6861

Fax

(845) 268-6861

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Christine E Sledziewski

Title

Controller

Phone

(518) 382-2427

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1730173808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 CHRISTIAN HERALD RD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892230",
            "telephone_number": "845-268-6861",
            "fax_number": "845-268-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 CHRISTIAN HERALD RD",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892230",
            "telephone_number": "845-268-6861",
            "fax_number": "845-268-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYACK MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "SLEDZIEWSKI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "518-382-2427",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "4350302N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Neal
• Nanda J Nevola, PT, PC
• Wanda Nieves, LMSW, CT
• Amanda Notley-Kim, PT
• Alan C Nussbaum, M.D.
• Nyack Operating LLC
• Martina Mary O'Reilly, RN
• Operation Engage Inc
• Orthotics & Prosthetics Technologies Corp
• Daisy Ortiz

• Skilled Nursing Facility in Valley Cottage, NY
• Providers in Valley Cottage, 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 3, 2015; 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.