GERIATRIC SERVICES OF CONNECTICUT, PC (NPI# 1043266422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043266422 |
Entity Type | Organization |
Organization Name | GERIATRIC SERVICES OF CONNECTICUT, PC |
Practice Address |
69 S Broadway Yonkers NY 10701-4004 |
Practice Telephone | 9143765555 |
Practice Fax Number | 9149641477 |
Mailing Telephone | 9143765555 |
Mailing Fax Number | 9149641477 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS KALCHTHALER (MEDICAL DIRECTOR AND CEO) |
Authorized Official Telephone | 91437655555 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
041835 | CT | Nursing & Custodial Care Facilities |
Street Address |
69 S BROADWAY |
City | YONKERS |
State | NY |
Zip Code | 10701-4004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841290723 | Assen Petrov Bogdanov | Internal Medicine | 69 S Broadway, Yonkers, NY 10701-4004 | 2005-07-21 |
1558654343 | Michael Lamorgese | Nurse Practitioner | 69 S Broadway, Yonkers, NY 10701-4004 | 2011-05-26 |
1639306244 | Oloyede O Olalowo | Internal Medicine | 69 S Broadway, Geriatric Services, P.C., Yonkers, NY 10701 | 2009-06-22 |
1992950786 | George L Adams | Emergency Medicine | 69 S Broadway, Yonkers, NY 10701-4004 | 2008-11-21 |
1619125218 | Donna Siciliano | Internal Medicine | 69 S Broadway, Yonkers, NY 10701-4004 | 2008-09-08 |
1689839755 | Elena Nikolai Ginsberg | Nurse Practitioner | 69 S Broadway, Yonkers, NY 10701-4004 | 2008-07-28 |
1104936855 | Sherman Chamberlain | Internal Medicine | 69 S Broadway, Yonkers, NY 10701 | 2006-08-30 |
1518972090 | Arthur Yunov | Internal Medicine | 69 S Broadway, Yonkers, NY 10701-4004 | 2006-07-31 |
1255386561 | Geriatric Services, P.C. | Nurse Practitioner | 69 S Broadway, Yonkers, NY 10701-4004 | 2006-05-24 |
1558322800 | Alla Bogorodovsky | Internal Medicine | 69 S Broadway, Yonkers, NY 10701-4004 | 2006-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
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Taxonomy Code | 3140N1450X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
Specialization | Nursing Care, Pediatric |
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578635561 | Elizabeth Seton Pediatric Center | Skilled Nursing Facility | 300 Corporate Blvd S, Finance Dept., Yonkers, NY 10701-6862 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144756479 | Christine Campbell | Skilled Nursing Facility | 14534 109th Ave, Jamaica, NY 11435-5414 | 2017-05-05 |
1871033985 | Sukhreet Bibbs | Skilled Nursing Facility | 1 Bradford Ct, Syracuse, NY 13207-2504 | 2017-03-08 |
1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
1790239929 | Interim Healthcare | Skilled Nursing Facility | 2088 S Dry Brook Rd, Hancock, NY 13783-3442 | 2016-08-04 |
1992152060 | Jessica Lopez | Skilled Nursing Facility | 27 Wyndham Rd, Brentwood, NY 11717-2336 | 2016-05-18 |
1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
1164893400 | Lois Knapp PCa | Skilled Nursing Facility | 2861 State Highway 7, Otego, NY 13825-2139 | 2015-10-13 |
1801265913 | Victor Marceano Rn | Skilled Nursing Facility | 85 California Ave, Middletown, NY 10940-6621 | 2015-09-18 |
1861860827 | Yves M Bastien | Skilled Nursing Facility | 79 Roeckel Ave, Valley Stream, NY 11580-3506 | 2015-09-08 |
1750757027 | Promed Staffing Resources | Skilled Nursing Facility | 99 Cameron Ave, Hempstead, NY 11550-4511 | 2015-08-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.