MARGARETVILLE NRS HME
NPI 1780850115
Internal Medicine - Geriatric Medicine in Margaretville, NY

Active since May 06, 2008CLIA 33D0889392 · Waiver
42158 STATE HIGHWAY 28, MARGARETVILLE, NY 12455(845) 586-1800 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Margaretville Nrs Hme NPPES

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

MARGARETVILLE NRS HME (NPI 1780850115) is a healthcare organization registered as a geriatric medicine in Margaretville, New York and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Kelly A Mcginnis, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1780850115
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameMARGARETVILLE NRS HME
Location Address42158 STATE HIGHWAY 28Margaretville, NY 12455-2826
Mailing Address42158 State Highway 28Margaretville, NY 12455-2826 · (845) 586-1800
Organization SubpartNo
Authorized OfficialKelly A McginnisDirector Of Revenue Cycle · (845) 943-6023
Enumeration DateMay 6, 2008
NPI 1780850115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in NY · 1226300N
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
42158 STATE HIGHWAY 28, Margaretville, NY 12455

Other Identifiers 1

Medicare OSCAR/certification0W32851NY

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

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 33D0889392

Margaretville Nursing Home Inc Dba Mountainside Residential Care Center · Margaretville, NY
Active · expires Mar 26, 2027
CLIA Number33D0889392
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 27, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Khurram Farooq
Laboratory Phone(845) 586-1800
Laboratory LocationMargaretville Nursing Home Inc Dba Mountainside Residential Care Center42158 State Hwy 28, Margaretville, NY 12455
CLIA data matches this NPI record on: Address Phone
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.

Skilled Nursing Facility
42158 STATE HIGHWAY 28
MARGARETVILLE, NY 12455
Hospitalist
42158 STATE HIGHWAY 28
MARGARETVILLE, NY 12455

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 Margaretville Nrs Hme's NPI number?

The NPI number for Margaretville Nrs Hme is 1780850115. It was assigned to this organization in the NPPES registry on May 6, 2008.

Where is Margaretville Nrs Hme located?

Margaretville Nrs Hme is located at 42158 State Highway 28, Margaretville, NY 12455. The listed phone number is (845) 586-1800.

What is Margaretville Nrs Hme's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Margaretville Nrs Hme hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0889392) 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 Margaretville Nrs Hme was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.