MEDICARE: GOLD CREST CARE CENTER INC.

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	7000376N	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	:	1821149055
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLD CREST CARE CENTER INC.

Provider Business Mailing Address
First Line	:	2316 BRUNER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-6323
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 BRUNER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-6323
Country	:	US
Telephone Number	:	718-882-6400
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MARK SALAMON
Credential	:
Telephone Number	:	718-882-6400

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	03/05/2012

Similar Medicare Providers

1205854940 — JEROME NORTON PSY.D
Practice Location Address:

2316 BRUNER AVE
BRONX, NY
10469-6323

Practice Phone: 718-652-2461
Practice Fax:

1528382280 — HEASOOK KWON
Practice Location Address:

1831 GRAND CONCOURSE
BRONX, NY
10453-6323

Practice Phone: 718-466-1000
Practice Fax: 718-466-1006

1255733523 — MR. JUAN PENA
Practice Location Address:

1831 GRAND CONCOURSE
BRONX, NY
10453-6323

Practice Phone: 718-365-6691
Practice Fax: 718-364-7777

1720449382 — CHANDARLATA MAHABIR
Practice Location Address:

2390 DAVIDSON AVE
BRONX, NY
10468-6323

Practice Phone: 917-378-0447
Practice Fax:

1932030491 — PATRYCJA BIZIO
Practice Location Address:

3575 BOSTON RD
BRONX, NY
10469-2518

Practice Phone: 347-601-4018
Practice Fax:

1639203797 — MS. BONNIE A. MARIETTA P.T.
Practice Location Address:

1770 STILLWELL AVE
BRONX, NY
10469-6409

Practice Phone: 718-652-9790
Practice Fax:

Directions to “GOLD CREST CARE CENTER INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.