NPIMap

Organization Active NPI

Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
National Provider Identifier
1104808062
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MONTEFIORE NYACK HOSPITAL
Practice address
160 N Midland Ave
Nyack, NY 10960-1912
Phone
(845) 348-2000
Fax
(845) 348-6610
NPI assigned
Nov 16, 2005
Last updated
Aug 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Authorized official

Name
Dennis Jones
Title
Administrator PT Financl Service
Phone
(845) 348-6601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

160 N Midland Ave
Nyack, NY 10960-1912

Mailing address

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000

Other identifiers 1

IdentifierTypeStateIssuer
00243967MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060802000059 NY Part A Provider - Hospital 2668485046 Practice locations: Nyack, NY; West Nyack, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104808062. Details of each certification follow.

Hospital certification: CCN 330104

Legal name
MONTEFIORE NYACK HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 21, 1989
Last certification
Jul 18, 2025
Beds
375
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 17, 1895 in NY
Enrollment address
160 N Midland Ave
Nyack, NY 10960-1912
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Nyack HospitalCCN 330104 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

17 Squadron Blvd
Fl 3
New City, NY 10956
Phone (845) 348-6669

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

111 N Midland Ave
Nyack, NY 10960
Phone (845) 639-6178

560 Route 303
Orangeburg, NY 10962
Phone (845) 348-2000

1 Blue Hill Plz
Ste 1608
Pearl River, NY 10965
Phone (845) 638-8700

3 Centerock Rd
West Nyack, NY 10994
Phone (845) 348-2000

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Montefiore Health System, Inc Organization, Tarrytown, NY Corporation, Non-profit Other Aug 1, 2014
Adlher Rodriguez Individual Corporate DirectorAssociate Vice President of Patient Jan 6, 2025
Mark Jacobs Individual Corporate OfficerVice Chairman Board of Trustees Jan 1, 2021
Mark E Geller Individual Corporate OfficerCeo Dec 16, 2014 100%
W-2 Managing EmployeeCeo Jan 6, 2025 100%
Thom Kleiner Individual Corporate OfficerSecretary Jan 1, 2021

Practitioners & affiliated clinicians

Practitioners 204

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.

View all 204

Affiliated clinicians 509

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

View all 509

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1104808062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2000",
            "fax_number": "845-348-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MIDLAND AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601912",
            "telephone_number": "845-348-2000",
            "fax_number": "845-348-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE NYACK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "ADMINISTRATOR PT FINANCL SERVICE",
        "authorized_official_telephone_number": "845-348-6601"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243967",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.