Provider Demographics
NPI:1669985354
Name:BARNWELL OPERATIONS ASSOCIATES LLC
Entity type:Organization
Organization Name:BARNWELL OPERATIONS ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-215-6000
Mailing Address - Street 1:1720 WHITESTONE EXPY STE 500
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-3021
Mailing Address - Country:US
Mailing Address - Phone:718-215-6000
Mailing Address - Fax:
Practice Address - Street 1:3230 CHURCH ST
Practice Address - Street 2:
Practice Address - City:VALATIE
Practice Address - State:NY
Practice Address - Zip Code:12184-2303
Practice Address - Country:US
Practice Address - Phone:518-758-6222
Practice Address - Fax:518-758-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00310632Medicaid