Silver Lake Specialized Rehabilitation & Care Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

7004323N Issued in NY

Legal business name

SILVER LAKE SPECIALIZED REHABILITATION & CARE CENTER, LLC

Doing business as

Silver Lake Specialized Care Center

Practice address

275 Castleton Ave
Staten Island, NY 10301-2709

Phone

(718) 447-7800

Fax

(718) 448-8385

NPI assigned

Sep 27, 2005

Last updated

Jul 15, 2022By 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

Michael Kraus, LNHA

Title

Administrator

Phone

(718) 447-7800

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Silver Lake Specialized Care Center Doing business as
• SILVER LAKE SPECIALIZED Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255327078. Details of each certification follow.

• CCN 335196 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335196

Legal name

SILVER LAKE SPECIALIZED REHABILITATION & CARE CENTER, LLC

Doing business as

SILVER LAKE SPECIALIZED CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1971

Last certification

Dec 13, 2023

Beds

278

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Jul 27, 2009 in NY

Enrollment address

275 Castleton Ave
Staten Island, NY 10301-2709

Nursing home name

SILVER LAKE SPECIALIZED REHABILITATION AND CARE CENTER

Listed as

Silver Lake Specialized Rehabilitation and Care CeCCN 335196 · 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 - Limited Liability company

Certified

Jan 1, 1971

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

278188.1 residents per day on average

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 9

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

Owners & managing parties with NPI records 1

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

• Louis M Emmer, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1306897327

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 5

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.

• Louis M Emmer, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1306897327
  NPD (past)
• Madhavi Latha Kolla, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1366699233
  NPD (past)
• John Dominick McCarthy, D.O.

  • General Practice Physician
  • Staten Island, NY
  • NPI 1235103342
  NPD (past)
• Rewais Morcus, M.D.

  • Hematology & Oncology Physician
  • Staten Island, NY
  • NPI 1730468380
  NPD (past)
• Sunil Ambalal Patel, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1972679942
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Louis M Emmer, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1306897327

  Nursing home

  Care Compare affiliation
• Madhavi Latha Kolla, MD

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1366699233

  Nursing home

  Care Compare affiliation
• John Dominick McCarthy, D.O.

  • General Practice Physician
  • Staten Island, NY
  • NPI 1235103342

  Nursing home

  Care Compare affiliation
• Rewais Morcus, M.D.

  • Hematology & Oncology Physician
  • Staten Island, NY
  • NPI 1730468380

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1255327078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012709",
            "telephone_number": "718-447-7800",
            "fax_number": "718-448-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012709",
            "telephone_number": "718-447-7800",
            "fax_number": "718-448-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE SPECIALIZED REHABILITATION & CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-447-7800",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7004323N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "335196",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308732",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - BLUE SHIELD",
            "identifier": "009553",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Lake Specialized Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SILVER LAKE SPECIALIZED",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SILVER LAKE SPECIALIZED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamie Lynn Silveira, MSSPED
• Silver Care Medical PC
• Silver Lake Counseling Services, LLC
• Silver Lake Medical PLLC
• Silver Lake Psychotherapy Associates, PLLC
• Silver Lake Support Services
• Silver Lake Support Services, Inc
• Howard Silverman, D.D.S.
• Melissa Paige Silverman, OTR
• Seema Silverman, M.S.

• Skilled Nursing Facility in Staten Island, NY
• Providers in Staten Island, 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 Jul 15, 2022; 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.