Active NPI
Saint Joachim & Anne Nursing and Rehabilitation Center
Doing business as saints joachim & Anne nursing and rehabilitation center
- Skilled Nursing Facility
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01220915 | Medicaid | NY |
Other names 1
- saints joachim & Anne nursing and rehabilitation center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 C
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 4, 1991
- Medicare certification status
- Active
- Certified beds
- 200
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Broughan Gorey | Corporate Director | Dec 1, 2018 | |
| Anthony Stumbo | Corporate Director | Dec 1, 2015 | |
| Alan Wolinetz | Corporate Director | Jul 27, 2016 | |
| Steven Smyth | W-2 Managing Employee | Nov 1, 2022 | |
| Alfred Lopinto | Corporate Director | Jul 27, 2016 | |
| Salvatore Monaco | Corporate Director | Jul 27, 2016 | |
| Mary B Glynn Ryan | Corporate Director | Jul 27, 2016 | |
| Louis Russo | Corporate Director | Jul 27, 2016 | |
| Christine D'Ottavio | Corporate Officer | Jan 1, 2022 | |
| Anthony Sossi | Corporate Director | Jul 27, 2016 | |
| Patrick J Keating | Corporate Director | Jul 27, 2016 | |
| Charles Caccavale | Corporate 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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1629051438
-
- General Practice Physician
- Bronx, NY
- NPI 1043328289
-
- Internal Medicine Physician
- Astoria, NY
- NPI 1144208497
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1114017472
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1245792043
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1033219571
-
- Cardiovascular Disease Physician
- Bronxville, NY
- NPI 1033161021
-
- Internal Medicine Physician
- Clifton, NJ
- NPI 1558701524
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.