Active NPI
Montgomery Operating Co LLC
- Skilled Nursing Facility
- Montgomery, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 3561302N
- Legal business name
- MONTGOMERY OPERATING CO LLC
- Practice address
- 2817 Albany Post Rd
Montgomery, NY 12549-2132 - Phone
- (845) 451-3155
- Fax
- (845) 457-9663
- NPI assigned
- Dec 14, 2009
- Last updated
- Aug 4, 2010
- 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
- Dr. Barry Hochdorf, DDS
- Title
- Managing Member
- Phone
- (845) 457-3155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 3561302N | NY | Primary |
Addresses
Primary practice location
2817 Albany Post Rd
Montgomery, NY 12549-2132
Mailing address
2817 Albany Post Rd
Montgomery, NY 12549-2132
Phone (845) 451-3155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100830000666 | NY | Part A Provider - Skilled Nursing Facility | 3173667433 | Practice locations: Montgomery, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336478775. Details of each certification follow.
Skilled nursing facility certification: CCN 335396
- Legal name
- MONTGOMERY OPERATING CO LLC
- Doing business as
- MONTGOMERY NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1973
- Last certification
- Jan 14, 2025
- Beds
- 100
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Enrollment address
- 2817 Albany Post Rd
Montgomery, NY 12549-2132 - Nursing home name
- MONTGOMERY NURSING AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Montgomery Nursing And Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Nov 1, 1973
- Medicare certification status
- Active
- Certified beds
- 100
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0163540 | Montgomery Nursing and Rehabilitation | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Montgomery Nursing and Rehabilitation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Montgomery, NY
- NPI 1972669364
Ownership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Adp of the SNF | Jan 1, 2026 | ||
| Long Term Solutions, Inc. | Adp of the SNF | Jan 1, 2026 | |
| Kate McPeek | Managing Control - Governing Body | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Eileen Masterson | Managing Control - Governing Body | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Vincent Maniscalco | Managing Control - Governing Body | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Robert Izsak | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 25% |
| Adp of the SNF | Jan 1, 2026 | ||
| Debi Elliot | Operational/Managerial Control | Jan 1, 2026 | |
| Managing Control - Governing Body | Jan 1, 2026 | ||
| HMM & Co., LLP | Adp of the SNF | Jan 1, 2026 | |
| Ari Kreismann | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 19% |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Managing Control - Governing Body | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Simbacare Management LLC | Adp of the SNF | Jan 1, 2026 | |
| 2817 Post Road Realty LLC | Adp of the SNF | Jan 1, 2026 | |
| Sandy Mozdierz | Managing Control - Governing Body | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Sukhdeep Kaur | Operational/Managerial Control | Jan 1, 2026 | |
| Managing Control - Governing Body | Jan 1, 2026 | ||
| Adp of the SNF | May 29, 2026 | ||
| Fca Partners LLC | Adp of the SNF | Jan 1, 2026 | |
| Menachem Markovics | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 12.5% |
| Adp of the SNF | Jan 1, 2026 | ||
| Angela Lacewell | Operational/Managerial Control | Jan 1, 2026 | |
| Managing Control - Governing Body | Jan 1, 2026 | ||
| Adp of the SNF | May 29, 2026 | ||
| Yosef Jozefovic | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 20% |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Managing Control - Governing Body | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 | ||
| Ethel Markovics | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 12.5% |
| Madelyn Bonilla | Managing Control - Governing Body | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Med-Net Compliance LLC | Adp of the SNF | Jan 1, 2026 | |
| Montgomery Management 26 LLC | Adp of the SNF | Jan 1, 2026 | |
| Danielle Feminella | Managing Control - Governing Body | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Direct Ownership Interest | Jan 1, 2026 | 1% | |
| Adp of the SNF | Jan 1, 2026 | ||
| Herbert Jozefovic | 5% Or Greater Direct Ownership Interest | Jan 1, 2026 | 10% |
| Operational/Managerial Control | Jan 1, 2026 | ||
| Managing Control - Governing Body | Jan 1, 2026 | ||
| Adp of the SNF | Jan 1, 2026 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Middletown, NY
- NPI 1316176118
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Middletown, NY
- NPI 1679739189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280880000000",
"number": "1336478775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ALBANY POST RD",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492132",
"telephone_number": "845-451-3155",
"fax_number": "845-457-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ALBANY POST RD",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492132",
"telephone_number": "845-451-3155",
"fax_number": "845-457-9663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTGOMERY OPERATING CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-14",
"last_updated": "2010-08-04",
"status": "A",
"authorized_official_last_name": "HOCHDORF",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "845-457-3155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "3561302N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, NY
- Phyllis Arlene Montanari, MA, LCAT, MT-BC
- Montefiore Medical Center
- Melanie Ann Montenora
- Montgomery Massage Therapy Group, P.C.
- Montgomery Nursing Home
- Montgomery Physical Therapy & Wellness PC (Access Physical Therapy & Wellness)
- Montgomery Village Pharmacy Inc (Montgomery Village Pharmacy)
- Millicent Evadne Morgan, LPN
- Jennifer L Motta-Conklin, OT
- Chelsea Rae Munkelt, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.