NPIMap

Organization Active NPI

Fulton Commons Care Center, Inc.

  • Skilled Nursing Facility
  • East Meadow, NY
National Provider Identifier
1225029234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2950317N Issued in NY
Legal business name
FULTON COMMONS CARE CENTER, INC.
Practice address
60 Merrick Ave
East Meadow, NY 11554-1578
Phone
(516) 222-9300
Fax
(516) 222-9333
NPI assigned
Oct 31, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Moshe Kalter
Title
President
Phone
(718) 961-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2950317N NY Primary

Addresses

Primary practice location

60 Merrick Ave
East Meadow, NY 11554-1578

Mailing address

14310 20TH Ave
Whitestone, NY 11357-3046
Phone (718) 961-1212

Other identifiers 1

IdentifierTypeStateIssuer
02204108MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101006000668 NY Part A Provider - Skilled Nursing Facility 4688707847 Practice locations: East Meadow, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225029234. Details of each certification follow.

Skilled nursing facility certification: CCN 335831

Legal name
FULTON COMMONS CARE CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 14, 2001
Last certification
Dec 23, 2024
Beds
280
Ownership / control type
Corporation
Multi-facility organization
THE GRAND HEALTHCARE SYSTEM
Organization structure
CorporationProprietary
Incorporated
Dec 10, 1999 in NY
Enrollment address
60 Merrick Ave
East Meadow, NY 11554-1578
Nursing home name
FULTON COMMONS CARE CENTER INC
Affiliated entity
THE GRAND HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fulton Commons Care Center IncCCN 335831 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 14, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
280271.6 residents per day on average
Chain
The Grand Healthcare16 facilities in the chain
Penalties (3 years)
1Fines totaling $8,401

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0995116Fulton Commons Care Center60 Merrick Avenue, East Meadow, NY 11554Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

60 Merrick Ave
East Meadow, NY 11554
Phone (516) 222-9300

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Frady Kalter Individual 5% Or Greater Direct Ownership Interest Dec 10, 1999 10%
Esther Fogel Individual 5% Or Greater Direct Ownership Interest Dec 10, 1999 10%
Moshe Kalter Individual 5% Or Greater Direct Ownership Interest Dec 10, 1999 50%
W-2 Managing Employee Apr 30, 2015
Aaron Fogel Individual 5% Or Greater Direct Ownership Interest Dec 10, 1999 30%

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 6

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": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225029234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 20TH AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573046",
            "telephone_number": "718-961-1212",
            "fax_number": "718-939-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541578",
            "telephone_number": "516-222-9300",
            "fax_number": "516-222-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COMMONS CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALTER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-961-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2950317N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02204108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.