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MARY MANNING WALSH HOME
NPI 1245692185
Preferred Provider Organization in New York, NY

Active since March 21, 2016CLIA 33D2060414 · Waiver
1339 YORK AVE, NEW YORK, NY 10021(212) 628-2800 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Manning Walsh Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MANNING WALSH HOME (NPI 1245692185) is a healthcare organization registered as a preferred provider organization in New York, New York and active in the NPI registry since March 2016. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Elliot Schwartz, Physician, as its authorized official.

NPPES Registry Identity

NPI1245692185
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMARY MANNING WALSH HOME
Location Address1339 YORK AVENew York, NY 10021-4707
Mailing Address250 1st Ave Apt 11eNew York, NY 10009-2614 · (646) 669-8313
Phone(212) 628-2800
Organization SubpartNo
Authorized OfficialElliot SchwartzPhysician · (212) 628-2800
Enumeration DateMarch 21, 2016
✔ NPI 1245692185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in NY · F305903-1
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1339 YORK AVE, New York, NY 10021
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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 33D2060414

Mary Manning Walsh Home · New York, NY
Active · expires Mar 26, 2027
CLIA Number33D2060414
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 11, 2013
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Taimur Mirza
Laboratory Phone(212) 628-2800
Laboratory LocationMary Manning Walsh Home1339 York Avenue, New York, NY 10021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER M. PASLEY, M.D., LLC
Internal Medicine
1339 YORK AVE
NEW YORK, NY 10021
New York County (917) 656-3087
CAITLIN NORA KELLY LCAT
Dance Therapist
1339 YORK AVE
NEW YORK, NY 10021
New York County (212) 628-2800
DR. JOYCE CHENG M.D.
Physical Medicine & Rehabilitation
1339 YORK AVE
NEW YORK, NY 10021
New York County (702) 899-0595
ROSEMARY PLASENCIA PSYD
Psychologist (Clinical)
1339 YORK AVE
NEW YORK, NY 10021
New York County (212) 628-2800
DR. MOUSLY ALMOZA LE BLANC MD
Physical Medicine & Rehabilitation
1339 YORK AVE
NEW YORK, NY 10021
New York County (872) 231-3162
ELLIOT SCHWARTZ, MDPC
Internal Medicine
1339 YORK AVE
NEW YORK, NY 10021
New York County (212) 628-2800
CATHOLIC SPECIAL NEEDS PLAN LLC
Health Maintenance Organization
1339 YORK AVE
NEW YORK, NY 10021
New York County (212) 752-7300
STEPHEN J. BENNETT M.D.
Internal Medicine (Pulmonary Disease)
1339 YORK AVE
NEW YORK, NY 10021
New York County (212) 628-2800

Frequently 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 Mary Manning Walsh Home's NPI number?

The NPI number for Mary Manning Walsh Home is 1245692185. It was assigned to this organization in the NPPES registry on March 21, 2016.

Where is Mary Manning Walsh Home located?

Mary Manning Walsh Home is located at 1339 York Ave, New York, NY 10021. The listed phone number is (212) 628-2800.

What is Mary Manning Walsh Home's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Mary Manning Walsh Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2060414) 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 Mary Manning Walsh Home was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.