JEWISH HOME LIFECARE, MANHATTAN (NPI# 1356434781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356434781 |
| Entity Type | Organization |
| Organization Name | JEWISH HOME LIFECARE, MANHATTAN |
| Other Organization Name | JEWISH HOME LIFECARE, MANHATTAN (PHARMACY) |
| Practice Address |
120 W 106th St New York NY 10025-3923 |
| Practice Telephone | 2128704972 |
| Practice Fax Number | 2128704982 |
| Mailing Telephone | 2128704972 |
| Mailing Fax Number | 2128704982 |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | RENEE HOFMAN (SENIOR DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 7184101289 |
| Authorized Official Credential | MS, RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
011111 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01551248 | 05 | |
| PK | 2062857 | 01 |
| Other Name | Type Code |
|---|---|
| Jewish Home Lifecare, Manhattan (Pharmacy) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104373133 | Jewish Home Lifecare, Manhattan | Clinic/Center | 2545 University Ave, Adult Day Health Center, Bronx, NY 10468-4066 | 2016-09-07 |
| 1174959217 | Jewish Home Lifecare, Manhattan | Skilled Nursing Facility | 120 W 106th St, New York, NY 10025-3923 | 2013-09-20 |
| 1427123546 | Jewish Home Lifecare, Manhattan | Clinic/Center | 120 W 106th St, Adult Day Health Center, New York, NY 10025-3712 | 2006-11-22 |
| 1811062920 | Jewish Home Lifecare, Manhattan | Skilled Nursing Facility | 120 W 106th St, New York, NY 10025-3712 | 2006-11-22 |
| 1639244742 | Jewish Home Lifecare, Manhattan | Psychiatry & Neurology | 120 W 106th St, Attn Medical Dept, New York, NY 10025-3712 | 2006-11-22 |
| 1467526160 | Jewish Home Lifecare, Manhattan | Clinic/Center | 1200 Waters Pl, Bronx, NY 10461-2728 | 2006-11-17 |
| Street Address |
120 W 106TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567046 | Susan S. Friess | Audiologist | 120 W 106th St, New York, NY 10025-3712 | 2005-06-11 |
| 1144840620 | Tobian Marian Coulter | Occupational Therapy Assistant | 120 W 106th St, New York, NY 10025-3923 | 2020-04-24 |
| 1821556010 | Inna Ostrova | Registered Nurse | 120 W 106th St, New York, NY 10025-3923 | 2019-03-06 |
| 1144744145 | Jorge Torres Jr. | Pharmacist | 120 W 106th St, New York, NY 10025-3923 | 2017-08-01 |
| 1134509763 | Kalpana H Patel | Physical Therapist | 120 W 106th St, New York, NY 10025-3923 | 2015-06-09 |
| 1194119545 | Teresa Kuo | Internal Medicine | 120 W 106th St, New York, NY 10025-3923 | 2015-03-24 |
| 1548696230 | Chana Dahan | Nurse Practitioner | 120 W 106th St, New York, NY 10025-3923 | 2013-09-25 |
| 1174959217 | Jewish Home Lifecare, Manhattan | Skilled Nursing Facility | 120 W 106th St, New York, NY 10025-3923 | 2013-09-20 |
| 1740620822 | Shivani N Chopra | Family Medicine | 120 W 106th St, New York, NY 10025-3923 | 2013-07-03 |
| 1245520121 | Michael Seth Garshick | Internal Medicine | 120 W 106th St, New York, NY 10025-3923 | 2011-04-13 |
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|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
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| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1942847371 | L.d.c. Pharmacy Corp | Pharmacy | 1825 Madison Ave, New York, NY 10035-3829 | 2019-12-04 |
| 1073083374 | Smartrx Pharmacy, Inc. | Pharmacy | 1706 Lexington Ave, New York, NY 10029-3936 | 2018-11-29 |
| 1811479835 | Esco Drug Co Inc | Pharmacy | 687 9th Ave, New York, NY 10036-3630 | 2018-09-06 |
| 1184909855 | Sss Pharmacy Inc | Pharmacy | 66 Nagle Ave, New York, NY 10040-1406 | 2011-10-13 |
| 1619032133 | Manhattan Psychiatric Center | Pharmacy | Wards Island, New York, NY 10035 | 2006-12-26 |
| 1700940616 | New York Psychiatric Institute | Pharmacy | 1051 Riverside Dr, New York, NY 10032-1007 | 2006-12-22 |
| 1730295403 | Rivington House Healthcare Facility | Pharmacy | 45 Rivington St, New York, NY 10002-1304 | 2006-08-22 |
| 1033145735 | De Witt Rehab and Nursing Home Phcy | Pharmacy | 211 E 79th St, New York, NY 10021-0819 | 2006-06-24 |
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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.