Organization Active NPI

Wartburg Nursing Home

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1891724969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001304N Issued in NY
Legal business name
WARTBURG NURSING HOME
Practice address
50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone
(718) 345-2273
Fax
(718) 485-9236
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steven Reagan
Title
Administrator
Phone
(718) 345-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7001304N NY Primary

Addresses

Primary practice location

50 Sheffield Ave
Brooklyn, NY 11207-2420

Mailing address

50 Sheffield Ave
Brooklyn, NY 11207-2420
Phone (718) 345-2273

Other identifiers 1

IdentifierTypeStateIssuer
00313662MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891724969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SHEFFIELD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072420",
            "telephone_number": "718-345-2273",
            "fax_number": "718-485-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SHEFFIELD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112072420",
            "telephone_number": "718-345-2273",
            "fax_number": "718-485-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARTBURG NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-345-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001304N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.