Organization Active NPI

Rosa Coplon Jewish Home and Infirmary

  • Skilled Nursing Facility
  • Getzville, NY
National Provider Identifier
1801893383
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ROSA COPLON JEWISH HOME AND INFIRMARY
Practice address
2700 N Forest Rd
Getzville, NY 14068-1527
Phone
(716) 639-3311
Fax
(716) 639-3309
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Mr. Robert T. Mayer
Title
President/Ceo
Phone
(716) 639-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2700 N Forest Rd
Getzville, NY 14068-1527

Mailing address

2700 N Forest Rd
Getzville, NY 14068-1527
Phone (716) 639-3311

Other identifiers 1

IdentifierTypeStateIssuer
00407543MedicaidNY

Other names 1

  • Rosa Coplon Living Center Other name

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rosa Coplon Jewish Home & Infirmary ChhaCCN 337234
Ownership
Non-Profit
Certified
Oct 16, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1801893383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681527",
            "telephone_number": "716-639-3311",
            "fax_number": "716-639-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N FOREST RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681527",
            "telephone_number": "716-639-3311",
            "fax_number": "716-639-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA COPLON JEWISH HOME AND INFIRMARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-639-3311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00407543",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosa Coplon Living Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Getzville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.