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Park Nursing Home

Nursing Facility/Intermediate Care Facility in Rockaway Park, NY · enumerated 2005 · authorized official Patrick Russell, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801887898

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Registry record

Entity type Organization (Type 2)
Legal business name Park Nursing Home
Practice address 128 Beach 115 Street, Rockaway Park, NY, 11694
Phone (718) 474-6400
Fax (718) 474-9669
Enumeration date Oct 31, 2005
Last updated in NPPES Mar 12, 2008

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Patrick Russell
Title Administrator
Phone (718) 474-6400

Other identifiers

Identifier Type State Issuer
00312487 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Park Nursing Home?
Park Nursing Home is registered in NPPES as a Nursing Facility/Intermediate Care Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-03-12.