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AMBER COURT OF SMITHTOWN
NPI 1417463662
Assisted Living Facility in Nesconset, NY

Active since December 26, 2017CLIA 33D2197397 · Waiver
130 LAKE AVE S, NESCONSET, NY 11767(908) 352-9200 Get Directions Write a Review

NPPES record last updated: December 31, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 31, 2020, Dec 26, 2017 (2 updates tracked since 2017).

About Amber Court Of Smithtown NPPES

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

AMBER COURT OF SMITHTOWN (NPI 1417463662) is a healthcare organization registered as an assisted living facility in Nesconset, New York and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Raphael Weiss, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417463662
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAMBER COURT AT SUFFOLK COUNTY LLC
Location Address130 LAKE AVE SNesconset, NY 11767-1001
Mailing Address1155 E Jersey StElizabeth, NJ 07201-2310 · (908) 352-9200
Phone(908) 352-9200
Organization SubpartNo
Authorized OfficialRaphael WeissCfo · (908) 352-9200
Enumeration DateDecember 26, 2017
Last NPPES UpdateDecember 31, 20202 updates tracked since enumeration
NPPES CertifiedDecember 31, 2020
✔ NPI 1417463662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
130 LAKE AVE S, Nesconset, NY 11767
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Other Names 1

Doing Business AsAmber Court Of Smithtown

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 33D2197397

Amber Court Of Smithtown LLC · Nesconset, NY
Active · expires Mar 26, 2027
CLIA Number33D2197397
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 23, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Richard S. Zito
Laboratory Phone(631) 768-1000
Laboratory LocationAmber Court Of Smithtown LLC130 Lake Ave, Nesconset, NY 11767
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KERRI-ANN MEGNA PTA
Physical Therapy Assistant
130 LAKE AVE S
NESCONSET, NY 11767
Suffolk County (631) 636-0620
AMBER COURT AT SUFFOLK LHCSA
Home Health
130 LAKE AVE S
NESCONSET, NY 11767
Suffolk County (631) 768-1000

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 Amber Court At Suffolk County LLC's NPI number?

The NPI number for Amber Court At Suffolk County LLC is 1417463662. It was assigned to this organization in the NPPES registry on December 26, 2017. The provider is doing business as Amber Court Of Smithtown.

Where is Amber Court At Suffolk County LLC located?

Amber Court At Suffolk County LLC is located at 130 Lake Ave S, Nesconset, NY 11767. The listed phone number is (908) 352-9200.

What is Amber Court At Suffolk County LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Amber Court At Suffolk County LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2197397) 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 Amber Court At Suffolk County LLC was last updated on December 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.