St. Johnland Nursing Center, Inc.
NPI 1336219658ActiveOrganization· Internal Medicine· Kings Park, NY
Internal Medicine in Kings Park, New York, registered in NPPES in November 2006. The authorized official on file is Mary Jean Weber, LNHA, Ceo - Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336219658 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 8, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 5157311N | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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