NPIMap

Organization Active NPI

Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1326525338
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTHCARE NETWORK, INC.
Practice address
2581 Atlantic Ave
Brooklyn, NY 11207
Phone
(212) 545-2400
NPI assigned
Jul 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Alan J. Wengrofsky
Title
Cfo
Phone
(212) 545-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2581 Atlantic Ave
Brooklyn, NY 11207

Mailing address

44 W 28TH Street
5TH Floor
New York, NY 10001-4212
Phone (212) 545-2409

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000987 NY Part B Supplier - Clinic/Group Practice 7416855143 Receives reassigned benefits from 108 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Long Island City, NY; Jamaica, NY; Brooklyn, NY; Bronx, NY
O20190218002590 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416855143 Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326525338. Details of each certification follow.

Federally qualified health center certification: CCN 571174

Legal name
COMMUNITY HEALTHCARE NETWORK INC
Doing business as
EAST NEW YORK HEALTH HUB
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 18, 2019
Last certification
Feb 18, 2019
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 1978 in NY
Enrollment address
2581 Atlantic Ave
Brooklyn, NY 11207-2412

Other NPIs with the same Medicare PAC ID 12

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

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Comunity Healthcare Network14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

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
Edwidge J Thomas Individual Corporate DirectorBoard Member Dec 1, 2021
Caroline Dorsen Individual Corporate OfficerBoard Member May 1, 2015
Corporate DirectorBoard Member May 1, 2015
Robert M. Hayes Individual Corporate OfficerPresident and Cfo Jan 20, 2015
Corporate DirectorPresident and Ceo Jan 20, 2015
Alan J Wengrofsky Individual Corporate OfficerVice President of Finance and Cfo Jul 25, 2008
Corporate DirectorVice President of Finance and Cfo Jul 25, 2008
W-2 Managing EmployeeVice President of Finance and Cfo Jul 25, 2008
Taisha L Benjamin Individual Corporate OfficerChief Medical Officer Aug 21, 2014
Denise Gordon Individual Corporate OfficerBoard Member Feb 18, 2016
Corporate DirectorBoard Member Feb 18, 2016
Elizabeth Krob-Kellner Individual Corporate OfficerBoard Chairperson Oct 1, 1989
Corporate DirectorBoard Chairperson Oct 1, 1989
Roger Platt Individual Corporate DirectorBoard Member Dec 1, 2021
Richard Barasch Individual Corporate DirectorBoard Member Dec 1, 2023
June E Niklus Individual Corporate OfficerVice Chairperson Mar 1, 1995
Corporate DirectorVice Chairperson Mar 1, 1995
Randy P Siller Individual Corporate OfficerBoard Member Oct 1, 2013
Corporate DirectorBoard Member Oct 1, 2013
Rhonda Kotelchuck Individual Corporate OfficerBoard Member Nov 1, 2018
Corporate DirectorBoard Member Nov 1, 2018
Kristin L Manzolillo Individual Corporate OfficerBoard Member Oct 1, 2013
Corporate DirectorBoard Member Oct 1, 2013
Donna E Anderson Individual Corporate OfficerBoard Member Apr 1, 1991
Corporate DirectorBoard Member Apr 1, 1991
Harlem J. Gunness Individual Corporate OfficerBoard Member Oct 1, 2016
Corporate DirectorBoard Member Oct 1, 2016
Greta Elysee Individual Corporate OfficerBoard Member Jan 1, 1998
Corporate DirectorBoard Member Jan 1, 1998
Josephine Diaz Individual Corporate OfficerBoard Member May 1, 2006
Corporate DirectorBoard Member May 1, 2006

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1326525338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 28TH STREET",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014212",
            "telephone_number": "212-545-2409",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11207",
            "telephone_number": "212-545-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WENGROFSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-545-2481"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.