WOODLAND POND, INC
NPI 1235368762
Skilled Nursing Facility in New Paltz, NY
About Woodland Pond, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODLAND POND, INC (NPI 1235368762), doing business as Kingston Regional Senior Living Corp., is a healthcare organization registered as a skilled nursing facility in New Paltz, New York and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michelle T Gramoglia, Ceo & President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Woodland Pond, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Woodland Pond, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2121927
Woodland Pond At New Paltz · New Paltz, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Woodland Pond, Inc's NPI number?
The NPI number for Woodland Pond, Inc is 1235368762. It was assigned to this organization in the NPPES registry on July 6, 2009. The provider was formerly known as Kingston Regional Senior Living Corp..
Where is Woodland Pond, Inc located?
Woodland Pond, Inc is located at 100 Woodland Pond Circle, New Paltz, NY 12561. The listed phone number is (845) 256-5600.
What is Woodland Pond, Inc's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Is Woodland Pond, Inc enrolled in Medicare?
Yes. Woodland Pond, Inc is registered in the Medicare PECOS enrollment system.
When is Woodland Pond, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Woodland Pond, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Woodland Pond, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Woodland Pond, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2121927) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Woodland Pond, Inc was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Woodland Pond, Inc · NPI 1235368762
Skilled Nursing Facility organization in New Paltz, New York. Organization record, active in the CMS NPPES registry since July 6, 2009.
## Identity
- **NPI:** 1235368762 (Entity type: Organization)
- **Enumerated:** July 6, 2009
- **Primary specialty:** Skilled Nursing Facility · taxonomy 314000000X
- **Organization subpart:** No
- **Authorized official:** Michelle Gramoglia, CEO & PRESIDENT
## Practice location
- **Address:** 100 WOODLAND POND CIRCLE, New Paltz, NY 12561
- **Phone:** (845) 256-5600 · **Fax:** (845) 256-5777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2016
- **Other identifiers:** Medicaid 03280568 (NY); Medicare UPIN 33-5858; Medicare UPIN 335858; and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235368762) · Data from the CMS NPPES public registry.