AVALON GARDENS NPI 1629339478

NPI Information

  • NPI: 1629339478
  • Provider Name: AVALON GARDENS
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Address: 7 ROUTE 25A
    SMITHTOWN, NY
    ZIP 11787
  • Phone: (631) 724-2200

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NPI Details

AVALON GARDENS is a nursing care and pediatric skilled nursing facility in Smithtown, NY. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. AVALON GARDENS NPI is 1629339478. The provider is registered as an organization entity type.

The provider's business location address is:

7 ROUTE 25A
SMITHTOWN, NY
ZIP 11787-626
Phone: (631) 724-2200

The provider's authorized official is Akiva Fogel Fogel .
The authorized official title is Administrator and has the following contact phone number (631) 724-2200.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric195281NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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