THE SOCIETY OF ST. JOHNLAND (NPI# 1275991846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275991846 |
| Entity Type | Organization |
| Organization Name | THE SOCIETY OF ST. JOHNLAND |
| Practice Address |
395 Sunken Meadow Rd Kings Park NY 11754-1000 |
| Practice Telephone | 6316632450 |
| Practice Fax Number | 6316632100 |
| Mailing Telephone | 6316632450 |
| Mailing Fax Number | 6316632100 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Authorized Official Name | MICHAEL BARTOLOTTA (CFO) |
| Authorized Official Telephone | 6316632450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
395 SUNKEN MEADOW RD |
| City | KINGS PARK |
| State | NY |
| Zip Code | 11754-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447286174 | St Johnland Nursing Center | Pharmacy | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2006-06-24 |
| 1821699729 | Jenna Rose Weisinger | Occupational Therapist | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2020-11-06 |
| 1184238768 | Lianna Dambrosio | Occupational Therapist | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2020-09-01 |
| 1801416128 | Jessica Bedoya | Occupational Therapist | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2020-04-17 |
| 1851928576 | Megan Barco | Physical Therapist | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2020-03-24 |
| 1952937807 | Corinne Montana-stack | Occupational Therapist | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2020-03-22 |
| 1477187144 | Kerri Hammond | Physical Therapist | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2020-03-02 |
| 1104210954 | Danielle Collins | Registered Nurse | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2015-03-18 |
| 1962809251 | St. Johnland Nursing Center | Skilled Nursing Facility | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2014-12-02 |
| 1295136877 | Elissa Miller | Speech-Language Pathologist | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2014-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821450214 | Brianna Mckee | Behavior Technician | 46 Boxwood Dr, Kings Park, NY 11754 | 2016-03-24 |
| 1144681438 | Giuseppe M Massaro | Pharmacist | 750 Rt 25a, Kings Park, NY 11754 | 2016-03-14 |
| 1003272667 | Lindsay Rose Sommo | Speech-Language Pathologist | 1156 Saint Johnland Rd, Kings Park, NY 11754 | 2016-01-12 |
| 1508235292 | Cvs Health | Pharmacist | 750 Ny-25a, Kings Park, NY 11754 | 2015-09-23 |
| 1710364328 | John Gentile Dds PC | Clinic/Center | 7 Meridian Avenue, Kings Park, NY 11754 | 2015-05-04 |
| 1235534074 | Danielle Hefets | Occupational Therapist | 149 Lakebridge Drive N, Kings Park, NY 11754 | 2014-10-22 |
| 1841609708 | Joan O'connor | Counselor | 1 Village Plaza, Suite 302/304, Kings Park, NY 11754 | 2014-08-05 |
| 1376956102 | Eric D Ludwig | Optometrist | 40 Boxwood Dr, Kings Park, NY 11754 | 2014-06-10 |
| 1336568682 | Richard Nemiroff | Social Worker | 42 Old Northport Rd, Kings Park, NY 11754 | 2014-04-15 |
| 1851713382 | Ryan Barkey | Emergency Medical Technician, Basic | 15 Columbus Ave, Kings Park, NY 11754 | 2014-01-17 |
| Find all providers in zip 11754 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518037837 | St. Johnland Nursing Center, Inc. | Clinic/Center | 395 Sunken Meadow Rd, Kings Park, NY 11754-1000 | 2006-11-08 |
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|---|---|---|---|---|
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| 1578173415 | Access Initiative LLC | Clinic/Center | 64 E 111th St Apt 907, New York, NY 10029-2688 | 2020-08-05 |
| 1225648454 | Angelica's Angels LLC | Clinic/Center | 188 Riverside Dr, Fultonville, NY 12072-1825 | 2020-08-03 |
| 1255940052 | Good Faith Social Daycare | Clinic/Center | 1385 Bay St, Staten Island, NY 10305-3901 | 2020-07-28 |
| 1821618919 | Bnb Adult Daycare Corp | Clinic/Center | 15301 Northern Blvd Ste 1b, Flushing, NY 11354-5051 | 2020-04-20 |
| 1083246888 | Brightest Adult Day Care Center LLC | Clinic/Center | 667 61st St, Brooklyn, NY 11220-4123 | 2020-02-10 |
| 1952933947 | Unity Adult Daycare Inc | Clinic/Center | 16210 Highland Ave, Jamaica, NY 11432-3438 | 2020-02-07 |
| 1790317824 | Boston Road Care LLC | Clinic/Center | 1698 Boston Rd, Bronx, NY 10460-4948 | 2020-02-06 |
| 1679105738 | Mommy Social Adult Day Care, Inc. | Clinic/Center | 6151 Fresh Meadow Ln, Fresh Meadows, NY 11365-2018 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
| City | KINGS PARK |
| Zip Code | 11754 |
Please comment or provide details below to improve the information on THE SOCIETY OF ST. JOHNLAND.
| 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.