Organization Active NPI

Saint Joachim & Anne Nursing and Rehabilitation Center

Doing business as saints joachim & Anne nursing and rehabilitation center

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1083602890
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SAINT JOACHIM & ANNE NURSING AND REHABILITATION CENTER
Doing business as
saints joachim & Anne nursing and rehabilitation center
Practice address
2720 Surf Ave
Brooklyn, NY 11224-1913
Phone
(718) 714-4800
Fax
(718) 266-1743
NPI assigned
Oct 6, 2005
Last updated
Apr 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Dottavio
Title
Cfo-Authorized Official
Phone
(718) 722-6105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2720 Surf Ave
Brooklyn, NY 11224-1913

Mailing address

2720 Surf Ave
Brooklyn, NY 11224-1913
Phone (718) 714-4800

Other identifiers 1

IdentifierTypeStateIssuer
01220915MedicaidNY

Other names 1

  • saints joachim & Anne nursing and rehabilitation center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041130000679 NY Part A Provider - Skilled Nursing Facility 7618932732 Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083602890. Details of each certification follow.

Skilled nursing facility certification: CCN 335748

Legal name
SAINT JOACHIM & ANNE NURSING AND REHABILITATION CENTER
Doing business as
SAINTS JOACHIM & ANNE NRC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 4, 1991
Last certification
Apr 22, 2025
Beds
200
Ownership / control type
Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 31, 1988 in NY
Enrollment address
2720 Surf Ave
Brooklyn, NY 11224-1913
Nursing home name
SAINTS JOACHIM & ANNE NURSING AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Saints Joachim & Anne Nursing and Rehabilitation CCCN 335748 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 4, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200187.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Broughan Gorey Individual Corporate DirectorBoard Director Dec 1, 2018
Anthony Stumbo Individual Corporate DirectorBoard Director Dec 1, 2015
Alan Wolinetz Individual Corporate DirectorBoard Member Jul 27, 2016
Steven Smyth Individual W-2 Managing EmployeeExecutive Director Nov 1, 2022
Alfred Lopinto Individual Corporate DirectorCeo, President & Board Member Jul 27, 2016
Salvatore Monaco Individual Corporate DirectorBoard Member/Treasurer Jul 27, 2016
Mary B Glynn Ryan Individual Corporate DirectorBoard Member Jul 27, 2016
Louis Russo Individual Corporate DirectorBoard Member/President Jul 27, 2016
Christine D'Ottavio Individual Corporate OfficerDeputy Cfo-SVP of Finance Jan 1, 2022
Anthony Sossi Individual Corporate DirectorBoard Member/Vice President Jul 27, 2016
Patrick J Keating Individual Corporate DirectorDeputy-Ceo/Cfo Board Member Jul 27, 2016
Charles Caccavale Individual Corporate DirectorBoard Director Dec 1, 2016

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1083602890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241913",
            "telephone_number": "718-714-4800",
            "fax_number": "718-266-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112241913",
            "telephone_number": "718-714-4800",
            "fax_number": "718-266-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOACHIM & ANNE NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "DOTTAVIO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CFO-AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-722-6105"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01220915",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "saints joachim & Anne nursing and rehabilitation center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "saints joachim & Anne nursing and rehabilitation center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.