St. Johnland Nursing Center, Inc.
NPI 1336219658 · Internal Medicine Physician · Kings Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Johnland Nursing Center, Inc. is a Internal Medicine Physician organization in Kings Park, NY (NPI 1336219658).
Provider details
- NPI number
- 1336219658
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Weber, Ceo - Administrator(631) 269-5800
- License
- 5157311N (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2020-08-22
Frequently asked questions
- What is St. Johnland Nursing Center, Inc.'s NPI number?
- St. Johnland Nursing Center, Inc.'s National Provider Identifier (NPI) is 1336219658, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Johnland Nursing Center, Inc.?
- St. Johnland Nursing Center, Inc. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is St. Johnland Nursing Center, Inc. located?
- St. Johnland Nursing Center, Inc.'s practice location on file with NPPES is 395 Sunken Meadow Rd, Kings Park, NY 11754-1000.
- What is St. Johnland Nursing Center, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for St. Johnland Nursing Center, Inc. is (631) 269-5800.
- Does St. Johnland Nursing Center, Inc. accept Medicare?
- St. Johnland Nursing Center, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St. Johnland Nursing Center, Inc.?
- The authorized official listed on St. Johnland Nursing Center, Inc.'s NPPES record is Mary Weber, Ceo - Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Johnland Nursing Center, Inc.'s NPI active?
- Yes — St. Johnland Nursing Center, Inc.'s NPI (1336219658) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.