Active NPI
Paljr LLC
Doing business as East Neck Nursing and Rehabilitation Center
- Skilled Nursing Facility
- West Babylon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5150303N
- Legal business name
- PALJR LLC
- Doing business as
- East Neck Nursing and Rehabilitation Center
- Practice address
- 134 Great East Neck Rd
West Babylon, NY 11704-8027 - Phone
- (631) 422-4800
- Fax
- (631) 422-1371
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alex Solovey
- Title
- Managing Member
- Phone
- (631) 422-4800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5150303N | NY | Primary |
Addresses
Primary practice location
134 Great East Neck Rd
West Babylon, NY 11704-8027
Mailing address
134 Great East Neck Rd
West Babylon, NY 11704-8027
Phone (631) 422-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00876444 | Medicaid | NY |
Other names 1
- East Neck Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050216000673 | NY | Part A Provider - Skilled Nursing Facility | 3274585302 | Practice locations: West Babylon, NY |
Skilled nursing facility certification: CCN 335681
- Legal name
- PALJR LLC
- Doing business as
- EAST NECK NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 15, 1985
- Last certification
- Aug 8, 2024
- Beds
- 300
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jul 24, 2003 in NY
- Enrollment address
- 134 Great East Neck Rd
West Babylon, NY 11704-8027 - Nursing home name
- EAST NECK NURSING & REHABILITATION CENTER
- Affiliated entity
- CASSENA CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- East Neck Nursing & Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Feb 15, 1985
- Medicare certification status
- Active
- Certified beds
- 300
- Chain
- Cassena Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0155991 | East Neck Nursing and Rehabilitation | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dvora Ostreicher | 5% Or Greater Direct Ownership Interest | Feb 1, 2005 | 30% |
| Limited Partnership Interest | Feb 1, 2005 | 30% | |
| Pasquale Debenedictis | 5% Or Greater Direct Ownership Interest | Feb 1, 2005 | 15% |
| Limited Partnership Interest | Feb 1, 2005 | 15% | |
| W-2 Managing Employee | Feb 1, 2005 | 15% | |
| Lisa M Banger | 5% Or Greater Direct Ownership Interest | Feb 1, 2005 | 6.66% |
| Limited Partnership Interest | Feb 1, 2005 | 6.66% | |
| Joseph Carillo | 5% Or Greater Direct Ownership Interest | Feb 1, 2005 | 26.68% |
| Limited Partnership Interest | Feb 1, 2005 | 26.68% | |
| Anthony Derosa | Operational/Managerial Control | Aug 6, 2007 | |
| Robert G Carillo | 5% Or Greater Direct Ownership Interest | Feb 1, 2005 | 6.66% |
| Limited Partnership Interest | Feb 1, 2005 | 6.66% | |
| Alex Solovey | 5% Or Greater Direct Ownership Interest | Feb 1, 2005 | 15% |
| Limited Partnership Interest | Feb 1, 2005 | 15% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Therapist
- Bronx, NY
- NPI 1972678662
5% Or Greater Direct Ownership Interest, Limited Partnership Interest
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1811007743
-
- Internal Medicine Physician
- Lindenhurst, NY
- NPI 1215997887
-
- Family Medicine Physician
- West Islip, NY
- NPI 1174810436
-
- Internal Medicine Physician
- North Babylon, NY
- NPI 1023106838
-
- Family Medicine Physician
- North Babylon, NY
- NPI 1023672953
-
- Internal Medicine Physician
- Bay Shore, NY
- NPI 1285734715
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": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1235138165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 GREAT EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117048027",
"telephone_number": "631-422-4800",
"fax_number": "631-422-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 GREAT EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117048027",
"telephone_number": "631-422-4800",
"fax_number": "631-422-1371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALJR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "SOLOVEY",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "631-422-4800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "5150303N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00876444",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "East Neck Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.