New Surfside Nursing Home Adc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7003373N Issued in NY

Legal business name

NEW SURFSIDE NURSING HOME ADC

Practice address

40-18 76Street
Elmhurst, NY 11373

Phone

(718) 471-3400

Fax

(718) 471-2802

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Dunn

Title

Controller

Phone

(718) 471-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

New Surfside Nursing Home Adc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• New Surfside Nursing Home LLC

  • Skilled Nursing Facility
  • Far Rockaway, NY
  • NPI 1063419612
  NPD tax ID

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750460358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 NEW HAVEN AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912538",
            "telephone_number": "718-471-3400",
            "fax_number": "718-471-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40-18 76STREET",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-471-3400",
            "fax_number": "718-471-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SURFSIDE NURSING HOME ADC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "718-471-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003373N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02700883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerem Nernekli, MD
• Michele Marie Neuhaus, ATR-BC, LCAT
• Rachel Haya Neuman, PA-C
• New Core Wellness Physical Therapy P.C.
• New Life Senior Care Center LLC
• New York City Health & Hospitals Corporation
• New York City Health and Hospitals Corporation
• New York City Health and Hospitals Corporation
• New York City Health and Hospitals Corporation
• New York Dental Services PLLC

• Skilled Nursing Facility in Elmhurst, NY
• Providers in Elmhurst, 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.