| NPI | 1063419356 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-07-01 |
| Last Updated | 2024-09-17 |
| Authorized Official | Ilana Avinari CFO Phone: 8454471542 |
| Mailing Address | 1725 Brentwood Rd, Bldg 1 Brentwood, NY 11717-5543 United States Phone: (845) 447-1542 | Fax: (845) 447-1544 📍 View Map |
| Primary Practice Address | 1725 Brentwood Rd, Bldg 1 Brentwood, NY 11717-5543 United States Phone: (631) 299-3000 | Fax: (631) 299-3274 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 02277085 | - |
| MEDICAID | NY | 02496748 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QA0600X – Clinic/Center, Adult Day Care | - | - |
| No | 314000000X – Skilled Nursing Facility | NY | 5154321N |
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About NPI 1063419356
Maria Regina Residence, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1063419356. The primary specialty listed is Clinic/Center, Adult Day Care. The organization is located in Brentwood, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063419356?
NPI 1063419356 belongs to Maria Regina Residence, Inc., a Clinic/Center, Adult Day Care in Brentwood, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063419356 active?
The current status of NPI 1063419356 in the NPPES registry is Active. The record was last updated on 2024-09-17.
What specialty is NPI 1063419356?
NPI 1063419356 is classified under the taxonomy Clinic/Center, Adult Day Care. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063419356?
You can verify NPI 1063419356 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063419356?
The primary practice address on file for NPI 1063419356 is 1725 Brentwood Rd, Brentwood, NY 11717-5543. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063419356 issued?
NPI 1063419356 was first issued (enumerated) on 2005-07-01. The NPPES record was last updated on 2024-09-17.
Practice Location Map
Maria Regina Residence, Inc. is located at 1725 Brentwood Rd, Brentwood, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Maria Regina Residence, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063419356. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 5154321N | NY |