MEDICARE: AMSTERDAM NURSING HOME CORPORATION (1992)

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility		NY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	133734710	OTHER	NY	ELDERPLAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7100141	OTHER	NY	UNITED HEALTH CARE
5	007894	OTHER	NY	BCBS PROVIDER NUMBER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	335570	OTHER	NY	HIP PROVIDER NUMBER
8	5309499	OTHER	NY	AETNA PROVIDER NUMBER
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	A1011800	OTHER	NY	OXFORD PROVIDER NUMBER
11	7100141	OTHER	NY	EVERCARE PROVIDER NUMBER
12	DTP01958263	OTHER	NY	SHP MNGD MCAD
13	0803121	OTHER	NY	AETNA HMO PROVIDER NUMBER

NPI Number	:	1033236211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMSTERDAM NURSING HOME CORPORATION (1992)

Provider Business Mailing Address
First Line	:	1060 AMSTERDAM AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-1715
Country	:	US
Telephone Number	:	212-316-7700
Fax Number	:	212-662-1793

Provider Business Practice Location Address
First Line	:	1060 AMSTERDAM AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-1715
Country	:	US
Telephone Number	:	212-316-7700
Fax Number	:	212-662-1793

Authorized Official
Title or Position	:	VICE PRESIDENT C.F.O.
Name	:	MR. MARK PANCIRER
Credential	:
Telephone Number	:	212-734-6621

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2025