Active NPI
Bridgeview Nursing Home
- Nursing Facility/Intermediate Care Facility
- Whitestone, NY
National Provider Identifier
1982693263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 7003309N
- Legal business name
- BRIDGEVIEW NURSING HOME
- Practice address
- 143-10 20TH Ave
Whitestone, NY 11357 - Phone
- (718) 961-1212
- Fax
- (718) 461-7543
- NPI assigned
- Oct 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Weiss
- Title
- Business Office Manager
- Phone
- (718) 961-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 7003309N | NY | Primary |
Addresses
Primary practice location
143-10 20TH Ave
Whitestone, NY 11357
Mailing address
143-10 20TH Ave
Whitestone, NY 11357
Phone (718) 961-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00308778 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Bridge View Nursing Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Whitestone, NY
- NPI 1629006937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982693263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143-10 20TH AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "11357",
"telephone_number": "718-961-1212",
"fax_number": "718-461-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143-10 20TH AVE",
"city": "WHITESTONE",
"state": "NY",
"postal_code": "11357",
"telephone_number": "718-961-1212",
"fax_number": "718-461-7543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEVIEW NURSING HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "718-961-1212",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "NY",
"license": "7003309N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00308778",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitestone, 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.