NPIMap

Organization Active NPI

State of New York Comptrollers Office

Doing business as Long Island State Veterans Home

  • Skilled Nursing Facility
  • Stony Brook, NY
National Provider Identifier
1184621724
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5151310N Issued in NY
Legal business name
STATE OF NEW YORK COMPTROLLERS OFFICE
Doing business as
Long Island State Veterans Home
Practice address
100 Patriots Rd
Stony Brook, NY 11790-3318
Phone
(631) 444-8500
Fax
(631) 444-8575
NPI assigned
Jun 28, 2005
Last updated
Apr 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Mr. Fred Sganga
Title
Executive Director
Phone
(631) 444-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5151310N NY Primary

Addresses

Primary practice location

100 Patriots Rd
Stony Brook, NY 11790-3318

Mailing address

100 Patriots Rd
Stony Brook, NY 11790-3318
Phone (631) 444-8500

Other identifiers 3

IdentifierTypeStateIssuer
01595019MedicaidNY
01312716MedicaidNY
02994521MedicaidNY

Other names 1

  • Long Island State Veterans Home Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040313000077 NY Part B Supplier - Clinic/Group Practice 0840101770 Receives reassigned benefits from 65 practitioners
36 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Stony Brook, NY; West Haverstraw, NY
O20050607000952 NY Part A Provider - Skilled Nursing Facility 0840101770 Practice locations: Stony Brook, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184621724. Details of each certification follow.

Skilled nursing facility certification: CCN 335758

Legal name
STATE OF NEW YORK COMPTROLLERS OFFICE
Doing business as
LONG ISLAND STATE VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 23, 1992
Last certification
Mar 11, 2025
Beds
350
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
100 Patriots Rd
Stony Brook, NY 11790-3318
Nursing home name
LONG ISLAND STATE VETERANS HOME
Affiliated entity
STATE OF NEW YORK COMPTROLLER'S OFFICE

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 36

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

View all 36

Care Compare: Nursing home

Medicare Care Compare
Listed as
Long Island State Veterans HomeCCN 335758 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Government - State
Certified
Apr 23, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
350310.4 residents per day on average
Chain
State of New York Comptroller's Office7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Peter Igarashi Individual Managing Control - Governing BodyDean of the Renaissance Sep 12, 2022
State of New York Comptrollers Office Organization, Stony Brook, NY Non-profit 5% Or Greater Direct Ownership Interest Oct 23, 1991 100%
Adp of the SNF Oct 23, 1991
Direct Ownership Interest Oct 23, 1991 100%
Jonathan Spier Individual Operational/Managerial Control Oct 8, 2015
Adp of the SNF Oct 8, 2015
Fred Sganga Individual Operational/Managerial Control Feb 1, 2001
Adp of the SNF Feb 1, 2001
Christopher Brancato Individual Operational/Managerial Control Jun 24, 2021
Adp of the SNF Jun 24, 2021
Jeanmarie Brand Individual Operational/Managerial Control Jul 28, 1994
Forvis Mazars, LLP Organization, Springfield, MO Adp of the SNF Jun 1, 2023
Anshu Singh Individual Operational/Managerial Control Apr 1, 2021
Adp of the SNF Apr 1, 2021
Denise Muscarella Individual Operational/Managerial Control Dec 14, 2017
Adp of the SNF Dec 14, 2017
Zimmet Healthcare Services Group, LLC Organization, Manalapan, NJ LLC Adp of the SNF Aug 1, 2012
Michael Scioscia Individual Operational/Managerial Control Dec 12, 2019
Adp of the SNF Dec 12, 2019
CMS Compliance Group Organization, Melville, NY Adp of the SNF Jun 1, 2011
Faculty Student Association of the State University of Ny Stony Brook Organization, Stony Brook, NY Operational/Managerial Control Sep 22, 2022
Adp of the SNF Apr 7, 2025
Pat Rocco Individual Operational/Managerial Control Jul 12, 2004
Adp of the SNF Jul 12, 2004

Owners & managing parties with NPI records 16

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

View all 16

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Helen Hayes HospitalWest Haverstraw, NY, CCN 330405 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Suny Health Science Center at SyracuseSyracuse, NY, CCN 33S241 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Suny Health Science Center at SyracuseSyracuse, NY, CCN 33T241 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Helen Hayes HospitalWest Haverstraw, NY, CCN 33T405 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
University Hospital of Brooklyn Suny Downstate Health Sciences UniversBrooklyn, NY, CCN 330350 Hospital 5% Or Greater Indirect Ownership Interest Dec 22, 1966
University Hospital of Brooklyn Suny Downstate Health Sciences UniversBrooklyn, NY, CCN 33T350 Hospital 5% Or Greater Indirect Ownership Interest Dec 22, 1966
Nys Veterans Home at MontroseMontrose, NY, CCN 335832 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 11, 2001
New York Veterans Home at BataviaBatavia, NY, CCN 335788 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 1995
Apr 1, 1995
Apr 1, 1995
New York State Veterans HomeOxford, NY, CCN 335097 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Adp of the SNF		 Apr 1, 1971
Apr 1, 1971
Apr 1, 1971
Nys Veterans Home at St. AlbansJamaica, NY, CCN 335770 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Dec 31, 1993
Sep 24, 2009
Helen Hayes HospitalWest Haverstraw, NY, CCN 335873 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Apr 14, 2016
Aug 10, 2016
Aug 10, 2016
Helen Hayes Hospital RHCFWest Haverstraw, NY, CCN 335823 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 12

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 15

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 15

Affiliated clinicians 4

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": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1184621724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318",
            "telephone_number": "631-444-8500",
            "fax_number": "631-444-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318",
            "telephone_number": "631-444-8500",
            "fax_number": "631-444-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "SGANGA",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-444-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "5151310N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01595019",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01312716",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02994521",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island State Veterans Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.