NPIMap

Organization Active NPI

Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jamaica, NY
National Provider Identifier
1124396874
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7002119R Issued in NY
Legal business name
COMMUNITY HEALTHCARE NETWORK, INC.
Practice address
89-44 164TH St
Jamaica, NY 11432-6103
Phone
(718) 523-2123
Fax
(718) 523-5833
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Alan J. Wengrofsky
Title
VP of Finance/Cfo
Phone
(212) 545-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7002119R NY Primary

Addresses

Primary practice location

89-44 164TH St
Jamaica, NY 11432-6103

Mailing address

44 W 28TH Street
5TH Floor
New York, NY 10001-4212
Phone (212) 545-2409

Other practice location 1

9004 161st St
5th Floor
Jamaica, NY 11432-6141
Phone (718) 523-2123

Other names 1

  • Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000987 NY Part B Supplier - Clinic/Group Practice 7416855143 Receives reassigned benefits from 108 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Long Island City, NY; Jamaica, NY; Brooklyn, NY; Bronx, NY
O20130122000127 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416855143 Practice locations: Jamaica, NY

Federally qualified health center certification: CCN 331058

Legal name
COMMUNITY HEALTHCARE NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 14, 2013
Last certification
Mar 14, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 1978 in NY
Enrollment address
8944 164TH St
Jamaica, NY 11432-5142

Other NPIs with the same Medicare PAC ID 12

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

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Comm Healthcare Network Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

9004 161st St
Fl 5
Jamaica, NY 11432
Phone (718) 523-2123

60 Madison Ave
#5
New York, NY 10010
Phone (212) 545-2400

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Edwidge J Thomas Individual Corporate DirectorBoard Member Dec 1, 2021
Caroline Dorsen Individual Corporate DirectorVice Chair Dec 1, 2015
Robert M. Hayes Individual Corporate OfficerPresident and Ceo Jan 20, 2015
Corporate DirectorPresident and Ceo Jan 20, 2015
Alan J Wengrofsky Individual Corporate OfficerVP of Finance/Cfo Jul 25, 2008
Corporate DirectorVP of Finance/Cfo Jul 25, 2008
W-2 Managing EmployeeVP of Finance Jul 25, 2008
Taisha L Benjamin Individual Corporate OfficerChief Medical Officer Aug 21, 2014
Denise Gordon Individual Corporate OfficerBoard Member Feb 18, 2016
Corporate DirectorBoard Member Feb 18, 2016
Elizabeth Krob-Kellner Individual Corporate OfficerBoard Chairperson Oct 1, 1989
Corporate DirectorBoard Chair Person Oct 1, 1989
Roger Platt Individual Corporate DirectorBoard Member Dec 1, 2021
Richard Barasch Individual Corporate DirectorBoard Member Dec 1, 2023
June E Niklus Individual Corporate OfficerVice Chair Person Mar 1, 1995
Corporate DirectorVice Chair Person Mar 1, 1995
Kathleen O'Neill Individual Corporate DirectorBoard Member Dec 1, 2020
Randy P Siller Individual Corporate OfficerBoard Member May 10, 2012
Corporate DirectorBoard Member May 10, 2012
Rhonda Kotelchuck Individual Corporate DirectorBoard Member Dec 1, 2018
Kristin L Manzolillo Individual Corporate OfficerBoard Member May 16, 2016
Corporate DirectorBoard Member May 16, 2016
Donna E Anderson Individual Corporate OfficerBoard Member Apr 1, 1991
Corporate DirectorBoard Member Apr 1, 1991
Harlem J. Gunness Individual Corporate OfficerBoard Member May 16, 2017
Corporate DirectorBoard Member May 16, 2017
Greta Elysee Individual Corporate OfficerBoard Member Jan 5, 1998
Corporate DirectorBoard Member Jan 5, 1998
Curtis Young Individual Corporate DirectorBoard Member Dec 1, 2021
Josephine Diaz Individual Corporate OfficerBoard Member May 10, 2006
Corporate DirectorBoard Member May 10, 2006

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1124396874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 28TH STREET",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014212",
            "telephone_number": "212-545-2409",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-44 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326103",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9004 161st St",
            "address_2": "5th Floor",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114326141",
            "country_code": "US",
            "telephone_number": "718-523-2123",
            "fax_number": "718-523-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WENGROFSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP OF FINANCE/CFO",
        "authorized_official_telephone_number": "212-545-2481"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7002119R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.