Organization Active NPI

Michael Melnicke

  • Nursing Facility/Intermediate Care Facility
  • Far Rockaway, NY
National Provider Identifier
1780674192
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MICHAEL MELNICKE
Practice address
353 Beach 48TH St
Far Rockaway, NY 11691-1120
Phone
(718) 471-5000
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Michael Melnicke
Title
Administrator
Phone
(718) 471-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

353 Beach 48TH St
Far Rockaway, NY 11691-1120

Mailing address

353 Beach 48TH St
Far Rockaway, NY 11691-1120

Other identifiers 1

IdentifierTypeStateIssuer
00309522MedicaidNY

Other names 1

  • ROCKAWAY CARE CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rockaway Care Center LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1780674192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BEACH 48TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 BEACH 48TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911120",
            "telephone_number": "718-471-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MELNICKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "MELNICKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-471-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCKAWAY CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.