NPIMap

Organization Active NPI

Parker Jewish Institute for Health Care and Rehabilitation

  • Community Based Hospice Care Agency
  • New Hyde Park, NY
National Provider Identifier
1275609190
Registry record updated Aug 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7003602F Issued in NY
Legal business name
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION
Practice address
27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone
(718) 289-2100
Fax
(718) 289-2321
NPI assigned
Nov 24, 2006
Last updated
Aug 30, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2017

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

Authorized official

Name
Mr. Robert Werner
Title
Sr VP Operations/Cfo
Phone
(718) 289-2354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7003602F NY Primary

Addresses

Primary practice location

27111 76TH Ave
New Hyde Park, NY 11040-1436

Mailing address

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2100

Other identifiers 1

IdentifierTypeStateIssuer
01865296MedicaidNY

Other names 1

  • Hospice Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030512000018 NY Part A Provider - Hospice 5294645966 Practice locations: New Hyde Park, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275609190. Details of each certification follow.

Hospice certification: CCN 331561

Legal name
PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION
Doing business as
COMPREHENSIVE COMMUNITY HOSPICE OF PARKER JEWISH INSTITUTE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 30, 1997
Last certification
Jul 23, 2021
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Feb 7, 1968 in NY
Enrollment address
271-11 76TH Ave
New Hyde Park, NY 11040-1436

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Comprehensive Comm Hospice of Parker Jewish InstCCN 331561 · All quality measures
Ownership
Non-Profit
Certified
Oct 30, 1997
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Parker Jewish Inst for5 organizations share this tax ID, including this one
Part of
Parker Jewish Inst for

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Sheryl Silverstein Individual Corporate Officer Jan 1, 2013
Nina Koppelman Individual Corporate Officer Jan 1, 2014
William a. Ackerman Individual Corporate Officer Jan 1, 2022
Robert Sterling Individual Corporate Officer Jan 1, 2014
Jerry Landsberg Individual Corporate Officer Jan 1, 2013
Sophia Gazis Individual W-2 Managing EmployeeMD; Dec 9, 2024 100%
Michael N. Rosenblut Individual Corporate OfficerPresident & Ceo Jan 6, 2003
Corporate Director Jan 6, 2003
W-2 Managing Employee Jan 6, 2003
Robert M. Werner Individual Corporate Officer Aug 16, 2007
Corporate Director Aug 16, 2007
W-2 Managing Employee Aug 16, 2007
Operational/Managerial Control Jul 12, 2015
Philip Kaplan Individual Corporate Officer Jan 1, 2014
Mike Denhoff Individual Corporate Officer Jan 1, 2014
Frances Katz Individual Corporate Officer Jan 1, 2014
Taryn Grunstein Individual Corporate Officer Jan 1, 2022
Alvin Murstein Individual Corporate Officer Jan 1, 2012
Gary Granoff Individual Corporate Officer Jan 1, 2014
Lee Charles Individual Corporate Officer Jan 1, 2022
Barbara Kushan Coleman Individual Corporate Officer Jan 1, 2014
Paula Farquharson Individual W-2 Managing EmployeeAd; Oct 16, 2023 100%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1275609190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2100",
            "fax_number": "718-289-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27111 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401436",
            "telephone_number": "718-289-2100",
            "fax_number": "718-289-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKER JEWISH INSTITUTE FOR HEALTH CARE AND REHABILITATION",
        "enumeration_date": "2006-11-24",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SR VP OPERATIONS/CFO",
        "authorized_official_telephone_number": "718-289-2354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "7003602F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01865296",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.