NPIMap

Organization Active NPI

Parker Jewish Institute for Health Care and Rehabilitation

  • Skilled Nursing Facility
  • New Hyde Park, NY
National Provider Identifier
1932275427
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone
(718) 289-2100
Fax
(718) 289-2321
NPI assigned
Nov 27, 2006
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABLITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Mr. Robert Werner
Title
SVP/Cfo
Phone
(718) 289-2354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1436

Mailing address

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2100

Other identifiers 1

IdentifierTypeStateIssuer
01148961MedicaidNY

Other names 1

  • Medical Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000631 NY Part B Supplier - Clinic/Group Practice 5294645966 Receives reassigned benefits from 21 practitioners
Practice locations: New Hyde Park, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Parker Jewish Inst for

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1932275427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2100",
            "fax_number": "718-289-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2100",
            "fax_number": "718-289-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABLITATION",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "718-289-2354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01148961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.