Active NPI
Montefiore Medical Center
- Home Health Agency
- Bronx, NY
National Provider Identifier
1265591168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7000606
- Legal business name
- MONTEFIORE MEDICAL CENTER
- Practice address
- 1 Fordham PLZ RM 1100
Bronx, NY 10458-5871 - Phone
- (718) 405-4400
- Fax
- (718) 364-7365
- NPI assigned
- Dec 6, 2006
- Last updated
- May 6, 2019
- 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
- David Menashy
- Title
- Vice President, Finance
- Phone
- (718) 920-4686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7000606 | NY | Primary |
Addresses
Primary practice location
1 Fordham PLZ RM 1100
Bronx, NY 10458-5871
Mailing address
1 Fordham Plaza
Suite 1100
Bronx, NM 10458
Phone (718) 405-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243554 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100604000091 | NY | Part A Provider - Home Health Agency | 3779496021 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bronx, NY; Scarsdale, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265591168. Details of each certification follow.
Home health agency certification: CCN 337009
- Legal name
- MONTEFIORE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1966
- Last certification
- Feb 18, 2010
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Jul 23, 1884 in NY
- Enrollment address
- 1 Fordham PLZ
RM 1100
Bronx, NY 10458-5871
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Montefiore Med Ctr Home Care Chha
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- MMC Rehab Medicine
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1275721441
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1265620439
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1275728594
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1255525929
-
- Primary Care Clinic/Center
- Queens, NY
- NPI 1245424928
-
- Primary Care Clinic/Center
- Yonkers, NY
- NPI 1265626998
-
- Primary Care Clinic/Center
- Claryville, NY
- NPI 1265626931
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1275727943
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1245425545
-
- Primary Care Clinic/Center
- Bronx, NY
- NPI 1275727935
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1245467455
-
- Primary Care Clinic/Center
- Elmsford, NY
- NPI 1245496165
Ownership & related parties
All disclosed owners & managing parties 39
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 |
|---|---|---|---|
| Alisa R Doctoroff | Corporate Director | Mar 21, 2017 | |
| Steven M. Safyer | Corporate Officer | Jan 7, 2008 | |
| Corporate Director | Jan 7, 2008 | ||
| W-2 Managing Employee | Jan 7, 2008 | ||
| David a Tanner | Corporate Director | Mar 3, 1998 | |
| Stacey R Lane | Corporate Director | May 19, 2009 | |
| Patricia Green | Corporate Director | Apr 5, 2005 | |
| Ruth L. Gottesman | Corporate Director | Sep 25, 2007 | |
| Lewis Henkind | Corporate Director | Nov 7, 1996 | |
| Matthew H. Nord | Corporate Director | Sep 16, 2014 | |
| Helen a. Johnson | Corporate Director | Oct 2, 1986 | |
| Cynthia King Vance | Corporate Director | Sep 25, 2007 | |
| Colleen M. Blye | Corporate Officer | Jan 6, 2016 | |
| W-2 Managing Employee | Jan 6, 2016 | ||
| John P Gutfreund | Corporate Director | Mar 21, 2017 | |
| Jonathan a Lipton | Corporate Director | May 12, 2009 | |
| Thomas L. Harrison | Corporate Director | Apr 5, 2005 | |
| Jennie Emil | Corporate Director | Sep 28, 2010 | |
| Christopher S. Panczner | Corporate Officer | Dec 1, 2008 | |
| Corporate Director | Dec 1, 2008 | ||
| W-2 Managing Employee | Dec 1, 2008 | ||
| Alan N Suna | Corporate Director | Nov 1, 2018 | |
| W. Norman Milner | Corporate Director | Feb 9, 2016 | |
| Jon W. Rotenstreich | Corporate Director | Oct 8, 1980 | |
| Nathan Gantcher | Corporate Director | Jun 26, 2012 | |
| Melissa Ceriale | Corporate Director | Sep 17, 2013 | |
| David B. Keidan | Corporate Director | Dec 14, 2004 | |
| Daniel R Tishman | Corporate Director | May 18, 2018 | |
| Barry S Blattman | Corporate Director | Sep 16, 2014 | |
| Zita G. Rosenthal | Corporate Director | Mar 15, 2011 | |
| Edwin H Stern | Corporate Director | Mar 13, 1968 | |
| Jay B. Abramson | Corporate Director | Sep 24, 1998 | |
| Barry W. Gray | Corporate Director | Jan 25, 1993 | |
| Michael a Stocker | Corporate Director | Jan 1, 2014 | |
| John Heffer | Corporate Director | Sep 19, 2000 | |
| James M. Butler | Corporate Officer | Jun 24, 2016 | |
| Corporate Director | May 12, 2009 | ||
| Gayle F. Robinson | Corporate Director | Mar 13, 2011 | |
| Ronald L Moelis | Corporate Director | Mar 21, 2017 | |
| Emanuel Chirico | Corporate Director | Oct 18, 2016 | |
| Phillip O. Ozuah | W-2 Managing Employee | Jan 1, 2012 | |
| Randi L Kohn | W-2 Managing Employee | Feb 1, 2018 | |
| Alan M. Klein | Corporate Director | May 22, 2007 | |
| Catherine M Klema | Corporate Director | Mar 13, 2012 | |
| Joel L Braun | Corporate Director | Oct 18, 2016 |
Practitioners & affiliated clinicians
Affiliated clinicians 29
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Bronx, NY
- NPI 1649430711
Home health agency
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bronx, NY
- NPI 1386629921
Home health agency
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Bronx, NY
- NPI 1942597083
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557100800000",
"number": "1265591168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORDHAM PLAZA",
"address_2": "SUITE 1100",
"city": "BRONX",
"state": "NM",
"postal_code": "10458",
"telephone_number": "718-405-4400",
"fax_number": "718-364-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 FORDHAM PLZ RM 1100",
"city": "BRONX",
"state": "NY",
"postal_code": "104585871",
"telephone_number": "718-405-4400",
"fax_number": "718-364-7365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTEFIORE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2019-05-06",
"status": "A",
"authorized_official_last_name": "MENASHY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
"authorized_official_telephone_number": "718-920-4686"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NY",
"license": "7000606",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243554",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.