Provider Demographics
NPI:1477876977
Name:DUMONT OPERATING, LLC
Entity Type:Organization
Organization Name:DUMONT OPERATING, LLC
Other - Org Name:DUMONT CENTER FOR REHABILITATION & NURSING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-360-8083
Mailing Address - Street 1:676 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1038
Mailing Address - Country:US
Mailing Address - Phone:718-360-8083
Mailing Address - Fax:718-732-2481
Practice Address - Street 1:676 PELHAM RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-1038
Practice Address - Country:US
Practice Address - Phone:718-360-8083
Practice Address - Fax:718-732-2481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00752158Medicaid
NY335271Medicare PIN