Wedgewood Care Center Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

WEDGEWOOD CARE CENTER INC

Practice address

199 Community Dr
Great Neck, NY 11021-5502

Phone

(516) 365-9229

Fax

(516) 365-2381

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Rafi Motechin

Title

Administrator

Phone

(516) 303-0100

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Highfield Gardens Care Center of Great Neck2 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.

• Wedgewood Care Center Inc

  • Skilled Nursing Facility
  • Great Neck, NY
  • NPI 1659460160
  NPD tax ID

Locations

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1821086448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502",
            "telephone_number": "516-365-9229",
            "fax_number": "516-365-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502",
            "telephone_number": "516-365-9229",
            "fax_number": "516-365-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEDGEWOOD CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "MOTECHIN",
        "authorized_official_first_name": "RAFI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-303-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2951306N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00312354",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teyrell Watts
• Jonathan M. Waxner, M.D.
• Ashley Weaver, AUD
• Alan Wecksell, MD
• Wedgewood Care Center Inc
• Angelina Wee, PT, DPT
• Arada Wongmek Weerawat, MD
• Stephen Wei
• Clara C Weinberg, P.T.
• Marni Rebecca Weinberg, M.A., CCC-SLP

• Adult Day Care Clinic/Center in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.