Pelham Parkway Nursing Care & Rehabilitation Facility, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PELHAM PARKWAY NURSING CARE & REHABILITATION FACILITY, LLC

Practice address

2401 Laconia Ave
Bronx, NY 10469-1406

Phone

(718) 798-8600

Fax

(718) 654-1057

NPI assigned

Nov 7, 2005

Last updated

Aug 18, 2008By 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

Otto Weingarten

Title

Owner

Phone

(718) 798-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306827456. Details of each certification follow.

• CCN 335486 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335486

Legal name

PELHAM PARKWAY NURSING CARE & REHABILITATION FACILITY, LLC

Doing business as

PELHAM PARKWAY NURSING CARE AND REHABILITATION FACILITY, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1976

Last certification

Jun 21, 2023

Beds

200

Ownership / control type

Partnership

Organization structure

LLCProprietary

Incorporated

Apr 7, 1999 in NY

Enrollment address

2401 Laconia Ave
Bronx, NY 10469-1406

Nursing home name

PELHAM PARKWAY NURSING CARE AND REHABILITATION FACILITY LLC

Listed as

Pelham Parkway Nursing Care And Rehabilitation FacCCN 335486 · All quality measures

Overall star rating

4 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Partnership

Certified

Apr 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

200189.4 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 5

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

Practitioners 6

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.

• Mehmet A Cetin, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1487716791
  NPD (past)
• David Daniel, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1710143268
  NPD (past)
• Howard J Hochster, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1497768808
  NPD (past)
• Jae Kwang Hong, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1740354539
  NPD (past)
• Ojinika Lynda Ikedilo, M.D.

  • General Practice Physician
  • Bronx, NY
  • NPI 1902186497
  NPD (past)
• Michael Ray Rabinowitz, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1619979978
  NPD (past)

Affiliated clinicians 3

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

• Mehmet A Cetin, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1487716791

  Nursing home

  Care Compare affiliation
• David Daniel, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1710143268

  Nursing home

  Care Compare affiliation
• Ojinika Lynda Ikedilo, M.D.

  • General Practice Physician
  • Bronx, NY
  • NPI 1902186497

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1306827456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691406",
            "telephone_number": "718-798-8600",
            "fax_number": "718-654-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LACONIA AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691406",
            "telephone_number": "718-798-8600",
            "fax_number": "718-654-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM PARKWAY NURSING CARE & REHABILITATION FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "WEINGARTEN",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-798-8600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pelham Bay Community Medical, PC
• Pelham Bay Medical Care for Women PC
• Pelham City Pharmacy Inc
• Pelham Medical Associates, PC
• Pelham Parkway Dental Associates PC
• Pelham Parkway SC LLC
• Pelham Parkway Vision Center Inc
• Pelham Pharmacy Inc
• Pelham Physical Medicine Inc
• Pelham Physical Medicine Inc

• Skilled Nursing Facility in Bronx, NY
• Providers in Bronx, 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 Aug 18, 2008; 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.