MEDICARE: WAYNE CENTER FOR NURSING AND REHABILITATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	7000350N	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083696132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAYNE CENTER FOR NURSING AND REHABILITATION

Provider Business Mailing Address
First Line	:	3530 WAYNE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467
Country	:	US
Telephone Number	:	718-655-1700
Fax Number	:	718-798-7691

Provider Business Practice Location Address
First Line	:	3530 WAYNE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467
Country	:	US
Telephone Number	:	718-655-1700
Fax Number	:	347-334-7562

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE/CCO
Name	:	MR. BENJAMIN S FELDMAN
Credential	:
Telephone Number	:	718-655-1700

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	04/15/2024

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