Park Manor Acquisition II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK MANOR ACQUISITION II LLC

Practice address

121 Dunning Rd
Middletown, NY 10940-2243

Phone

(845) 343-0801

Fax

(845) 343-1838

NPI assigned

Jan 4, 2010

Last updated

Jan 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lizer Jozefovic

Title

Member

Phone

(845) 343-0801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205166816. Details of each certification follow.

• CCN 335655 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335655

Legal name

PARK MANOR ACQUISITION II LLC

Doing business as

MIDDLETOWN PARK REHABILITATION AND HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 28, 1982

Last certification

Mar 4, 2024

Beds

230

Ownership / control type

Corporation

Organization structure

LLCProprietary

Incorporated

Dec 30, 2009 in NY

Enrollment address

121 Dunning Rd
Middletown, NY 10940-2243

Nursing home name

MIDDLETOWN PARK REHAB & HEALTH CARE CENTER

Affiliated entity

EPIC HEALTHCARE MANAGEMENT

Listed as

Middletown Park Rehab & Health Care CenterCCN 335655 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jun 28, 1982

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

230222.8 residents per day on average

Chain

Epic Healthcare Management5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

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

Practitioners 4

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.

• Sukhdeep Kaur, MD

  • Internal Medicine Physician
  • Middletown, NY
  • NPI 1316176118
  NPD (past)
• Atter M Shahid, MD

  • Internal Medicine Physician
  • Middletown, NY
  • NPI 1679739189
  NPD (past)
• Mrilini M Yeddu, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Middletown, NY
  • NPI 1477692929
  NPD (past)
• Soodabeh Zolfaghari, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1396907689
  NPD (past)

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1205166816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DUNNING RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DUNNING RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402243",
            "telephone_number": "845-343-0801",
            "fax_number": "845-343-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK MANOR ACQUISITION II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "JOZEFOVIC",
        "authorized_official_first_name": "LIZER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "845-343-0801"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Paraschiv, MD
• Tejas Bharat Parikh, M.D.
• Amanda Melissa Parish, LMHC-D
• Marybeth Parisi, M.D.
• Vellore S Parithivel, MD
• James Park, DMD
• John Sung Park, M.D.
• Joon Hong Park, MD
• Kim J Park, LMSW
• Maryann Park, M.D

• Skilled Nursing Facility in Middletown, NY
• Providers in Middletown, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.

Verify at the official NPI Registry.