AVALON GARDENS
NPI 1629339478
Skilled Nursing Facility - Nursing Care, Pediatric in Smithtown, NY

Q: What is the provider's specialty?

The provider's specialty is Skilled Nursing Facility with taxonomy code 3140N1450X and a focus in Nursing Care, Pediatric.

Active since June 07, 2012

7 ROUTE 25A, SMITHTOWN, NY 11787(631) 724-2200 Get Directions Write a Review

NPPES record last updated: June 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Skilled Nursing Facility
Nursing Care, Pediatric

About AVALON GARDENS

This page provides the complete NPI Profile along with additional information for Avalon Gardens, a provider established in Smithtown, New York operating as a Skilled Nursing Facility, focusing in nursing care, pediatric . The healthcare provider is registered in the NPI registry with number 1629339478 assigned on June 2012. The practitioner's primary taxonomy code is 3140N1450X with license number 195281 (NY). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Akiva Fogel Fogel (Administrator)

NPI: 1629339478 Verify this NPI
Provider Name: AVALON GARDENS
Entity Type: Organization
Location Address: 7 ROUTE 25A SMITHTOWN, NY 11787
Location Phone: (631) 724-2200
Mailing Address: 211 SYMPHONY DR LAKE GROVE, NY 11755
Mailing Phone: (631) 642-7006
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-07-2012
Last Update Date: 06-07-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Skilled Nursing Facility Nursing Care, Pediatric
Taxonomy Code: 3140N1450X
Type: Nursing & Custodial Care Facilities
License No.: 195281
License State: NY
Taxonomy Description: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. AKIVA FOGEL FOGEL
Authorized Official Title: ADMINISTRATOR
Authorized Official Phone: (631) 724-2200