Crest Hall Corp.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5151314N Issued in NY

Legal business name

CREST HALL CORP.

Practice address

63 Oakcrest Ave
Middle Island, NY 11953-1415

Phone

(631) 924-8830

NPI assigned

Aug 24, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Dimant, M.D.NPI 1831182708

Title

President

Phone

(631) 924-8830

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Creat Hall Care Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Dimant, M.D.

  • Rheumatology Physician
  • Brooklyn, NY
  • NPI 1831182708
  NPD Authorized official

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1801889985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 OAKCREST AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531415",
            "telephone_number": "631-924-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 OAKCREST AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531415",
            "telephone_number": "631-924-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST HALL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "DIMANT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-924-8830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5151314N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01995922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creat Hall Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Ann Concolino, PHARMD
• Michelle Anne Condon
• Amanda Conigliaro
• Daniella Cornelia
• Denys Victoria Coscia, MSE
• Sandra Iris Cruz-Jute, MS, RD, CDN
• Paige Kayla Csikortos
• Anna C Cuevas
• Stacey Cummings, RN
• Kimberly Cuneo, LPN

• Skilled Nursing Facility in Middle Island, NY
• Providers in Middle Island, 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 Feb 6, 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.