NPIMap

Organization Active NPI

Nymedputnam, Inc.

  • Skilled Nursing Facility
  • Brewster, NY
National Provider Identifier
1851496749
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
3950301N Issued in NY
Legal business name
NYMEDPUTNAM, INC.
Doing business as
d.b.a.Putnam Ridge/Putnam Commons RHCF
Practice address
46 Mount Ebo Rd N
Brewster, NY 10509-3600
Phone
(845) 278-3636
Fax
(845) 278-5723
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Mr. Laurence Ladue, LNHA
Title
Administrator
Phone
(845) 278-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 3950301N NY Primary

Addresses

Primary practice location

46 Mount Ebo Rd N
Brewster, NY 10509-3600

Mailing address

46 Mount Ebo Rd N
Brewster, NY 10509-3600
Phone (845) 278-3636

Other identifiers 1

IdentifierTypeStateIssuer
02085367MedicaidNY

Other names 1

  • d.b.a.Putnam Ridge/Putnam Commons RHCF Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Atlanticare Management 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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1851496749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MOUNT EBO RD N",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105093600",
            "telephone_number": "845-278-3636",
            "fax_number": "845-278-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MOUNT EBO RD N",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105093600",
            "telephone_number": "845-278-3636",
            "fax_number": "845-278-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYMEDPUTNAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "LADUE",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-278-3636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "3950301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02085367",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d.b.a.Putnam Ridge/Putnam Commons RHCF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.