NPIMap

Organization Active NPI

White Oaks Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Woodbury, NY
National Provider Identifier
1790772150
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2952306N Issued in NY
Legal business name
WHITE OAKS REHABILITATION AND NURSING CENTER
Practice address
8565 Jericho Tpke
Woodbury, NY 11797-1804
Phone
(516) 367-3400
Fax
(516) 692-9627
NPI assigned
Sep 30, 2005
Last updated
Aug 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Authorized official

Name
Mr. Frank Misiano
Title
Administrator
Phone
(516) 367-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2952306N NY Primary

Addresses

Primary practice location

8565 Jericho Tpke
Woodbury, NY 11797-1804

Mailing address

8565 Jericho Tpke
Woodbury, NY 11797-1804
Phone (516) 367-3400

Other identifiers 1

IdentifierTypeStateIssuer
01057372MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050519000229 NY Part A Provider - Skilled Nursing Facility 4981645090 Practice locations: Woodbury, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790772150. Details of each certification follow.

Skilled nursing facility certification: CCN 335690

Legal name
WHITE OAKS REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 30, 1987
Last certification
Mar 9, 2024
Beds
200
Ownership / control type
Partnership
Organization structure
PartnershipProprietary
Enrollment address
8565 Jericho Tpke
Woodbury, NY 11797-1804
Nursing home name
WHITE OAKS REHABILITATION AND NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
White Oaks Rehabilitation and Nursing CenterCCN 335690 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Oct 30, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200177.2 residents per day on average
Penalties (3 years)
1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0159977White Oaks Rehabilitation and Nursing Center8565 Jericho Tpke, Woodbury, NY 11797Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

8565 Jericho Tpke
#1S
Woodbury, NY 11797

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey White Individual 5% Or Greater Direct Ownership Interest Jan 1, 1998 51%
General Partnership Interest May 19, 2005
W-2 Managing Employee Jan 1, 1998

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1790772150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8565 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804",
            "telephone_number": "516-367-3400",
            "fax_number": "516-692-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804",
            "telephone_number": "516-367-3400",
            "fax_number": "516-692-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAKS REHABILITATION AND NURSING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "MISIANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-367-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2952306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01057372",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.