Terence Cardinal Cooke Health Care Center

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

License

7002345N Issued in NY

Legal business name

TERENCE CARDINAL COOKE HEALTH CARE CENTER

Practice address

1249 5TH Ave
New York, NY 10029-4413

Phone

(212) 360-3764

Fax

(212) 427-9488

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Annmarie C Covone

Title

Sr.VP - Cfo

Phone

(646) 633-4702

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Hospital certification: CCN 330410

Legal name

TERENCE CARDINAL COOKE HEALTH CARE CENTER

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jan 1, 2020

Last certification

Nov 12, 2021

Beds

57 (56 certified)

Ownership / control type

Church

Organization structure

CorporationNon-profit

Incorporated

Jul 1, 1980 in NY

Enrollment address

1249 5TH Ave
New York, NY 10029-4413
Main/Primary Hospital Location

Hospital subgroups

Acute care

Other NPIs with the same Medicare PAC ID 1

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

• Terence Cardinal Cooke Health Care Center

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1598744146

  1355232836

  Same PAC ID

Tax ID family

Ter Card Cook HCC Pulm4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Terence Cardinal Cooke Health Care Center

  • General Acute Care Hospital
  • New York, NY
  • NPI 1265526610
  NPD tax ID
• Terence Cardinal Cooke Health Care Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New York, NY
  • NPI 1396876488
  NPD tax ID
• Terence Cardinal Cooke Health Care Center

  • General Acute Care Hospital
  • New York, NY
  • NPI 1760579452
  NPD tax ID

All disclosed owners & managing parties 24

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

Practitioners 5

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

• Mohammad Haroon Chhipa, MD

  • Pediatrics Physician
  • Elmhurst, NY
  • NPI 1477623411
  NPD (past)
• Ariel Daube, MD

  • Pediatric Critical Care Medicine Physician
  • New York, NY
  • NPI 1942526926
  NPD (past)
• Vicki-Jo Deutsch, MD

  • Skilled Nursing Facility
  • New York, NY
  • NPI 1003972472
  NPD (past)
• Joseph S Winik, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1184726457
  NPD (past)
• Michal Dubowski, MD

  • General Practice Physician
  • Pine Brook, NJ
  • NPI 1104428499
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1215100458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294413",
            "telephone_number": "212-360-3764",
            "fax_number": "212-427-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100294413",
            "telephone_number": "212-360-3764",
            "fax_number": "212-427-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE CARDINAL COOKE HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "COVONE",
        "authorized_official_first_name": "ANNMARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR.VP - CFO",
        "authorized_official_telephone_number": "646-633-4702",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NY",
            "license": "7002345N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355202",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harshit Terala
• Chrystal Teran, AGPCNP-BC,OCN, BMTCN
• David Allan Terca, M.D.
• Roseline Terebo, NP
• Terence Cardinal Cooke Health Care Center
• Terence Cardinal Cooke Health Care Center
• Terence Cardinal Cooke Health Care Center
• Terence Cardinal Cooke Health Care Center
• Terence Cardinal Cooke Health Care Center
• Teresa O MD, PLLC

• Long Term Care Hospital in New York, NY
• Providers in New York, NY by specialty
• Long Term Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.