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ST. JOHNLAND NURSING CENTER, INC.
NPI 1336219658
Internal Medicine in Kings Park, NY

Active since November 08, 2006CLIA 33D0654188 · Waiver
3/5
Overall Rating
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754(631) 269-5800(631) 269-5876 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St. Johnland Nursing Center, Inc. NPPES

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

ST. JOHNLAND NURSING CENTER, INC. (NPI 1336219658) is a healthcare organization registered as an internal medicine in Kings Park, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mary Jean Weber, Ceo - Administrator, as its authorized official.

NPPES Registry Identity

NPI1336219658
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. JOHNLAND NURSING CENTER, INC.
Location Address395 SUNKEN MEADOW RDKings Park, NY 11754-1000
Mailing Address395 Sunken Meadow RdKings Park, NY 11754-1000 · (631) 269-5800 · Fax (631) 269-5876
Phone(631) 269-5800
Fax(631) 269-5876
Organization SubpartNo
Authorized OfficialMary Jean WeberCeo - Administrator · (631) 269-5800
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336219658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 5157311N
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
395 SUNKEN MEADOW RD, Kings Park, NY 11754
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Johnland Nursing Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to St. Johnland Nursing Center, Inc., which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Maureen Orsen, MD
Internal Medicine
NPI 1154492429
395 SUNKEN MEADOW ROAD
Kings Park, NY 11754
(631) 269-5800
✔ PECOS0.1 mi
Hillary Diamond, M.D.
Internal Medicine
NPI 1902967011
99 SEA COVE RD
Northport, NY 11768
(631) 300-0585
✔ PECOS✔ Accepts Medicare5.1 mi
Jacques Winter, MD
Neurology
NPI 1750469052
202 E MAIN ST STE 201
Huntington, NY 11743
(631) 551-5130
✔ PECOS✔ Accepts Medicare9.9 mi
Alex Czira, MD
Family Practice
NPI 1871557785
755 NEW YORK AVE 107
Huntington, NY 11743
(631) 421-3636
✔ PECOS✔ Accepts Medicare10.0 mi
Max Rudansky, MD
Neurology
NPI 1649358938
755 NEW YORK AVE SUITE 309
Huntington, NY 11743
(631) 351-1250
✔ PECOS✔ Accepts Medicare10.0 mi
Marjorie Mombeleur, M.D.,
Internal Medicine
NPI 1831154889
378 SYOSSET WOODBURY RD
Woodbury, NY 11797
(516) 921-3900
✔ PECOS✔ Accepts Medicare13 mi

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 33D0654188

St Johnland Nursing Center Inc · Kings Park, NY
Active · expires Mar 26, 2027
CLIA Number33D0654188
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 24, 2004
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yelena Faynzilbert
Laboratory Phone(516) 269-5800
Laboratory LocationSt Johnland Nursing Center Inc395 Sunken Meadow Rd, Kings Park, NY 11754
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for St Johnland Nursing Center Inc (CMS certification number 335487), from CMS Care Compare.

St Johnland Nursing Center Inc

Nursing home · Kings Park, NY
3/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number335487
Certified Beds250 beds233 residents per day on average
Medicare & Medicaid Participant SinceDecember 27, 1975
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
23.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.15 · LPN 0.83 · RN 0.68
3.65 hrs per resident per day
Weekend Nurse Staffing
3.15 hrs per resident per day
Physical Therapist Staffing
0.1 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
26.7%
Registered Nurse Turnover
26.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
1
Infection-Control Citations
0
Fines
2 totaling $9,634.95
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 St. Johnland Nursing Center, Inc.'s NPI number?

The NPI number for St. Johnland Nursing Center, Inc. is 1336219658. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is St. Johnland Nursing Center, Inc. located?

St. Johnland Nursing Center, Inc. is located at 395 Sunken Meadow Rd, Kings Park, NY 11754. The listed phone number is (631) 269-5800.

What is St. Johnland Nursing Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is St. Johnland Nursing Center, Inc. enrolled in Medicare?

Yes. St. Johnland Nursing Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Johnland Nursing Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to St. Johnland Nursing Center, 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. The largest specialties are Internal Medicine (3), Neurology (2) and Family Practice (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St. Johnland Nursing Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0654188) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is St. Johnland Nursing Center, Inc. a Medicare-certified nursing home?

Yes. St Johnland Nursing Center Inc is a Medicare-certified nursing home with 250 certified beds.

What quality rating does St. Johnland Nursing Center, Inc. have?

CMS rates St Johnland Nursing Center Inc 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for St. Johnland Nursing Center, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.