Zohar Maxcare Inc.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

510328-1 Issued in NY

Legal business name

ZOHAR MAXCARE INC.

Practice address

32 Church St
Malverne, NY 11565-1735

Phone

(516) 474-5062

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Grace Manglet, NPNPI 1013206655

Title

Nurse Practititoner

Phone

(516) 474-5062

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Zohar Maxcare Inc.

  • Community/Behavioral Health Agency
  • Gaithersburg, MD
  • NPI 1740873975

  9537575071

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Manglet, DNP ( PMH-NP-BC)

  • Psychiatric/Mental Health Nurse Practitioner
  • Gaithersburg, MD
  • NPI 1013206655

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1992105837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHURCH ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651735",
            "telephone_number": "516-474-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHURCH ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651735",
            "telephone_number": "516-474-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOHAR MAXCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "MANGLET",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "NURSE PRACTITITONER",
        "authorized_official_telephone_number": "516-474-5062",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "510328-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Sim Yang
• Yogatastic
• Heather Zawislak, MA, LCSW
• Kimberley Zinerco, RPH
• Gregory Zito, M.D.,

• Psychiatric/Mental Health Registered Nurse in Malverne, NY
• Providers in Malverne, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.