Park Avenue Operating Company LLC
NPI 1720111479ActiveOrganization· Skilled Nursing Facility· Long Beach, NY
Skilled Nursing Facility in Long Beach, New York, registered in NPPES in March 2007. The authorized official on file is Jeffrey Goldstein, Officer. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1720111479 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2007 |
| Last updated in NPPES | Nov 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 2902306N | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (NY) |
|---|
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