NEWARK WAYNE COMMUNITY HOSPITAL (NPI# 1295803070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295803070 |
| Entity Type | Organization |
| Organization Name | NEWARK WAYNE COMMUNITY HOSPITAL |
| Other Organization Name | WAYNE HEALTH CARE-VENT |
| Practice Address |
100 Sunset Dr Newark NY 14513-1068 |
| Practice Telephone | 3153322022 |
| Mailing Telephone | 3153322022 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | THOMAS CRILLY (CFO) |
| Authorized Official Telephone | 5859225497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 5820000N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00355702 | 05 | |
| NY | BLUE CHOICE | P015002600 | 01 |
| NY | BLUESHIELD | 20 | 01 |
| Other Name | Type Code |
|---|---|
| Wayne Health Care- DeMay Living Center | Doing Business As Name - Organization |
| Wayne Health Care-Vent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780752568 | Newark Wayne Community Hospital | Skilled Nursing Facility | 100 Sunset Dr, Newark, NY 14513-1068 | 2006-12-01 |
| 1851594774 | Newark Wayne Community Hospital | Skilled Nursing Facility | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2007-06-07 |
| 1346369212 | Newark Wayne Community Hospital | General Acute Care Hospital | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2007-03-29 |
| 1902989221 | Newark Wayne Community Hospital | Psychiatric Unit | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2006-10-23 |
| 1770671182 | Newark Wayne Community Hospital | General Acute Care Hospital | 1200 Driving Park Ave, Pob 111 Driving Park Ave, Newark, NY 14513-1057 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEWARK WAYNE COMMUNITY HOSPITAL | 1250 Driving Park Ave, Newark, NY 14513-1057 |
| Street Address |
100 SUNSET DR |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780752568 | Newark Wayne Community Hospital | Skilled Nursing Facility | 100 Sunset Dr, Newark, NY 14513-1068 | 2006-12-01 |
| 1043822133 | Joseph Louis Teutonico | Physical Therapy Assistant | 100 Sunset Dr, Newark, NY 14513-1068 | 2020-08-19 |
| 1912527524 | Sierra Hewitt | Physical Therapist | 100 Sunset Dr, Newark, NY 14513-1068 | 2020-04-23 |
| 1396393500 | Ronak Patel | Physical Therapy Assistant | 100 Sunset Dr, Newark, NY 14513-1068 | 2019-08-30 |
| 1033687264 | Aliza Marie Dewilde | Occupational Therapist | 100 Sunset Dr, Newark, NY 14513-1068 | 2018-11-06 |
| 1043791692 | Michelle Delyser | Occupational Therapist | 100 Sunset Dr, Newark, NY 14513-1068 | 2018-08-22 |
| 1760961635 | Teresa A Vascukynas | Physical Therapist | 100 Sunset Dr, Newark, NY 14513-1068 | 2018-08-10 |
| 1457860322 | Odessa Morales | Physical Therapist | 100 Sunset Dr, Newark, NY 14513-1068 | 2017-09-23 |
| 1700314150 | Rachel Phyllis Meyer | Physical Therapist | 100 Sunset Dr, Newark, NY 14513-1068 | 2017-05-30 |
| 1992175566 | Kyle Backal | Physical Therapist | 100 Sunset Dr, Newark, NY 14513 | 2015-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
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| 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 |
|---|---|---|---|---|
| 1225329170 | Genesis | Skilled Nursing Facility | 167 Darling St, Newark, DE 19702-3761 | 2011-04-27 |
| 1649315565 | Forest Hill Health Care Center, Inc. | Skilled Nursing Facility | 497 Mount Prospect Ave, Newark, NJ 07104-2903 | 2007-02-20 |
| 1174688287 | Generation Health & Rehabilitation | Skilled Nursing Facility | 1450 W. Main Street, Newark, OH 43055-3653 | 2006-12-27 |
| 1780752568 | Newark Wayne Community Hospital | Skilled Nursing Facility | 100 Sunset Dr, Newark, NY 14513-1068 | 2006-12-01 |
| 1366537185 | Exceptional Care for Children | Skilled Nursing Facility | 11 Independence Way, Newark, DE 19713 | 2006-10-04 |
| 1659394054 | Kindred Nursing Centers East, L.L.C. | Skilled Nursing Facility | 75 Mcmillen Dr, Newark, OH 43055-1808 | 2006-07-26 |
| 1467411850 | Lpn Health Care Facility Inc | Skilled Nursing Facility | 151 Price Rd, Newark, OH 43055-3317 | 2006-03-22 |
| 1306820691 | Chs - Arlington, Inc | Skilled Nursing Facility | 98 S 30th St, Newark, OH 43055-1940 | 2005-12-01 |
| 1003898636 | New Community Health Care, Inc. | Skilled Nursing Facility | 266 S Orange Ave, Newark, NJ 07103-2457 | 2005-11-18 |
| 1922097476 | Autumn Health Care of Newark | Skilled Nursing Facility | 17 Forry Street, Newark, OH 43055 | 2005-10-18 |
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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.