East Rockaway Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2911302N Issued in NY

Legal business name

EAST ROCKAWAY CENTER LLC

Doing business as

Lynbrook Restorative Therapy and Nursing

Practice address

243 Atlantic Ave
Lynbrook, NY 11563-3552

Phone

(516) 599-2744

Fax

(516) 599-0339

NPI assigned

May 10, 2011

Last updated

May 23, 2011By 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

Mrs. Lisa Polimeni

Title

Director of Billing

Phone

(516) 671-4100

Specialties & licenses 1

Addresses

Other names 1

• Lynbrook Restorative Therapy and Nursing Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265724298. Details of each certification follow.

• CCN 335160 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335160

Legal name

EAST ROCKAWAY CENTER LLC

Doing business as

LYNBROOK RESTORATIVE THERAPY AND NURSING

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1968

Last certification

Oct 11, 2024

Beds

100

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

May 1, 2008 in NY

Enrollment address

243 Atlantic Ave
Lynbrook, NY 11563-3552

Nursing home name

LYNBROOK RESTORATIVE THERAPY AND NURSING

Affiliated entity

PARAGON HEALTHNET

Listed as

Lynbrook Restorative Therapy And NursingCCN 335160 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Dec 1, 1968

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10094.1 residents per day on average

Chain

Paragon Healthnet11 facilities in the chain

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

Tax ID family

East Rockaway Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ernh Corporation Inc

  dba East Rockaway Progressive Care Facility

  • Skilled Nursing Facility
  • Lynbrook, NY
  • NPI 1023184173
  NPD tax ID

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.

Owners & managing parties with NPI records 1

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

• Aijaz Khan, M.D.

  • Family Medicine Physician
  • Oceanside, NY
  • NPI 1912984063

  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.

• Rana Hassan, M.D., P.C

  • Internal Medicine Physician
  • Franklin Square, NY
  • NPI 1467450759
  NPD (past)
• Erik K Johnson, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1679545727
  NPD (past)
• Usman Khan, M.D

  • Family Medicine Physician
  • Manhasset, NY
  • NPI 1578959300
  NPD (past)
• Fahad Riaz

  • Internal Medicine Physician
  • Glen Cove, NY
  • NPI 1477086270
  NPD (past)
• Farid Shahkoohi, M.D.

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1124024336
  NPD (past)

Affiliated clinicians 4

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

• Erik K Johnson, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1679545727

  Nursing home

  Care Compare affiliation
• Usman Khan, M.D

  • Family Medicine Physician
  • Manhasset, NY
  • NPI 1578959300

  Nursing home

  Care Compare affiliation
• Fahad Riaz

  • Internal Medicine Physician
  • Glen Cove, NY
  • NPI 1477086270

  Nursing home

  Care Compare affiliation
• Farid Shahkoohi, M.D.

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1124024336

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1265724298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633552",
            "telephone_number": "516-599-2744",
            "fax_number": "516-599-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633552",
            "telephone_number": "516-599-2744",
            "fax_number": "516-599-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ROCKAWAY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "POLIMENI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "516-671-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2911302N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynbrook Restorative Therapy and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lygia Dsa, MD
• Guirlene M Dube, RN
• Dennis M Dunn, M.S. CASAC
• Kathleen McMahon Dunn, M.A.
• Patricia M Dupree', RN
• Caitlyn Eberstein
• Stephen George Edakulam, OTR/L
• Ashley Edelman
• Stephanie Edwards, DPT
• Joseph Eichenbaum, M.D.F.A.C.C.

• Skilled Nursing Facility in Lynbrook, NY
• Providers in Lynbrook, 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 May 23, 2011; 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.