SILVER LAKE SPECIALIZED (NPI# 1255327078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255327078 |
| Entity Type | Organization |
| Organization Name | SILVER LAKE SPECIALIZED |
| Other Organization Name | SILVER LAKE SPECIALIZED |
| Practice Address |
275 Castleton Ave Staten Island NY 10301-2709 |
| Practice Telephone | 7184477800 |
| Practice Fax Number | 7184488385 |
| Mailing Telephone | 7184477800 |
| Mailing Fax Number | 7184488385 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | MS. JOAN GIEBELHAUS (ADMINISTRATOR) |
| Authorized Official Telephone | 7184477800 |
| Authorized Official Credential | L.N.H.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 7004323N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS - BLUE SHIELD | 009553 | 01 |
| NY | 00308732 | 05 | |
| NY | HIP | 335196 | 01 |
| Other Name | Type Code |
|---|---|
| SILVER LAKE SPECIALIZED | Other Name - Individual/Organization |
| Street Address |
275 CASTLETON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063810919 | Jenna A Mattura | Licensed Practical Nurse | 275 Castleton Ave, Staten Island, NY 10301-2709 | 2014-12-09 |
| 1992102321 | Alexia Santana | Skilled Nursing Facility | 275 Castleton Ave, Bookkeeping Department, Staten Island, NY 10301-2709 | 2014-12-01 |
| 1245651744 | Sammanasu Prakasam | Registered Nurse | 275 Castleton Ave, Staten Island, NY 10301-2709 | 2013-12-30 |
| 1336258482 | Maryjane Pantaleo | Nurse Practitioner | 275 Castleton Ave, Staten Island, NY 10301-2709 | 2006-08-30 |
| 1215047980 | Adult Medical Care, P.C. | Internal Medicine | 275 Castleton Ave, Staten Island, NY 10301-2709 | 2006-08-30 |
| 1730168774 | Loretta Scott | Nurse Practitioner | 275 Castleton Ave, Staten Island, NY 10301-2709 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915351 | Loretta Scott Inc | Skilled Nursing Facility | 99 Leverett Ave, Staten Island, NY 10308-1724 | 2014-09-18 |
| 1033200100 | Verrazano Nursing Home Inc | Skilled Nursing Facility | 100 Castleton Avenue, Staten Island, NY 10301 | 2006-09-27 |
| 1023097698 | Carmel Richmond Nursing Home, Inc. | Skilled Nursing Facility | 88 Old Town Road, Staten Island, NY 10304 | 2006-01-12 |
| 1447248273 | Staten Island Care Center | Skilled Nursing Facility | 200 Lafayette Ave, Staten Island, NY 10301-1219 | 2005-10-06 |
| 1174510648 | Golden Gate Rehabilitation & Health Care Center LLC | Skilled Nursing Facility | 191 Bradley Ave, Staten Island, NY 10314-5166 | 2005-09-30 |
| 1770578064 | Sisters of Charity Health Care Systems Nh Inc | Skilled Nursing Facility | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2005-09-13 |
| 1417952417 | Clove Lakes Health Care and Rehabilitation Center, Inc. | Skilled Nursing Facility | 25 Fanning St, Staten Island, NY 10314-5307 | 2005-06-16 |
| 1922451327 | Margret Ultra Home Care | Skilled Nursing Facility | 34 Beach St, Staten Island, NY 10304-2702 | 2016-07-20 |
| 1992102321 | Alexia Santana | Skilled Nursing Facility | 275 Castleton Ave, Bookkeeping Department, Staten Island, NY 10301-2709 | 2014-12-01 |
| 1689003782 | Jose F Romney Rn | Skilled Nursing Facility | 49 Hudson Pl, 1a, Staten Island, NY 10303-2626 | 2013-11-08 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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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.