Organization Active NPI

Excel at Woodbury for Rehabilitation and Nursing LLC

  • Skilled Nursing Facility
  • Woodbury, NY
National Provider Identifier
1376989376
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2952303N Issued in NY
Legal business name
EXCEL AT WOODBURY FOR REHABILITATION AND NURSING LLC
Practice address
8533 Jericho Tpke
Woodbury, NY 11797-1804
Phone
(718) 939-7500
Fax
(718) 559-4920
NPI assigned
May 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Lucy Moschetta
Title
Accounts Receivable Bookkeeper
Phone
(718) 939-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2952303N NY Primary

Addresses

Primary practice location

8533 Jericho Tpke
Woodbury, NY 11797-1804

Mailing address

8533 Jericho Tpke
Woodbury, NY 11797-1804
Phone (718) 939-7500

Other identifiers 1

IdentifierTypeStateIssuer
00308347MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130828000224 NY Part A Provider - Skilled Nursing Facility 7618110396 Practice locations: Woodbury, NY

Skilled nursing facility certification: CCN 335231

Legal name
EXCEL AT WOODBURY FOR REHABILITATION AND NURSING LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 19, 1968
Last certification
Apr 23, 2024
Beds
123
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 20, 2012 in NY
Enrollment address
8533 Jericho Tpke
Woodbury, NY 11797-1804
Nursing home name
EXCEL AT WOODBURY FOR REHABILITATION AND NURSING, LLC
Affiliated entity
PARAGON HEALTHNET

Care Compare: Nursing home

Medicare Care Compare
Listed as
Excel At Woodbury for Rehabilitation and Nursing,CCN 335231
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 19, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
123112.3 residents per day on average
Chain
Paragon Healthnet11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2191600Excel at Woodbury8533 Jericho Tpke, Woodbury, NY 11797Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Issac Laufer Individual 5% Or Greater Direct Ownership InterestOwner/Member Aug 20, 2013 50%
Managing Control - Governing BodyOwner Sep 20, 2012
Adp of the SNF Sep 20, 2012
Woodbury Real Estate Holding Co LLC Organization, Woodbury, NY LLC Adp of the SNF Sep 20, 2012
Direct Ownership Interest Sep 20, 2012 100%
Max Lebowitz Individual 5% Or Greater Direct Ownership InterestOwner/Member Aug 20, 2013 25%
Managing Control - Governing Body Sep 20, 2012
Adp of the SNF Sep 20, 2012
Chaim Lebowitz Individual 5% Or Greater Direct Ownership InterestOwner/Member Aug 20, 2013 25%
Managing Control - Governing BodyOwner Sep 20, 2012
Adp of the SNF Sep 20, 2012
Stacey B Altman Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Nov 14, 2025
Lisa Polimeni Individual Operational/Managerial Control Jan 1, 2024
Brenainn M Flanagan Individual Operational/Managerial Control May 1, 2021
Adp of the SNF Dec 11, 2025

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

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": "1368662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1376989376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8533 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804",
            "telephone_number": "718-939-7500",
            "fax_number": "718-559-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8533 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971804",
            "telephone_number": "718-939-7500",
            "fax_number": "718-559-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL AT WOODBURY FOR REHABILITATION AND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "MOSCHETTA",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE BOOKKEEPER",
        "authorized_official_telephone_number": "718-939-7500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2952303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00308347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.