Margaret Tietz Nursing and Rehabilitation Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7003305N Issued in NY

Legal business name

MARGARET TIETZ NURSING AND REHABILITATION CENTER

Practice address

164-11 Chapin Pkwy
Jamaica, NY 11432

Phone

(718) 298-7800

Fax

(718) 262-8839

NPI assigned

May 30, 2005

Last updated

Jan 13, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Kehoe

Title

VP of Finance

Phone

(718) 239-1405

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Margaret Tietz Center for Nursing Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jeffrey D. Wessler, M.D., P.C.

  • Clinic/Center
  • New York, NY
  • NPI 1902318603

  O20180425002151

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1730182254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PLACE",
            "address_2": "TOWER 1, SUITE 602",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612731",
            "telephone_number": "718-239-1405",
            "fax_number": "347-640-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164-11 CHAPIN PKWY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-298-7800",
            "fax_number": "718-262-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGARET TIETZ NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-30",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "KEHOE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "718-239-1405",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003305N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaret Tietz Center for Nursing Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marcelle M.Morcos, MD, PC
• Yaasmiyn S Marcelle
• Kimberly Margaret Marcus
• Marc Eric Mardelli, MD
• Margaret Teitz Adc
• Anny Mariano Rodriguez
• Daniel Mark
• Kristina Markovic, RD
• Sarah Markowitz
• Marlene Bradnock

• Skilled Nursing Facility in Jamaica, NY
• Providers in Jamaica, 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 Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.