OrganizationActive
Park Nursing Home
NPI 1801887898 · Nursing Facility/Intermediate Care Facility · Rockaway Park, NY
Provider details
- NPI number
- 1801887898
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Patrick Russell, Administrator(718) 474-6400
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
128 Beach 115 Street
Rockaway Park, NY 11694
Phone: (718) 474-6400
Fax: (718) 474-9669
Approximate (ZIP-level) locationGet directions
Mailing address
128 Beach 115 Street
Rockaway Park, NY 11694
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2008-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.