NPIMap

Organization Active NPI

SV Operating Three LLC

Doing business as Richmond Physician Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
National Provider Identifier
1396003182
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SV OPERATING THREE LLC
Doing business as
Richmond Physician Group
Practice address
91 Tompkins Ave
Staten Island, NY 10304-2601
Phone
(718) 931-9700
NPI assigned
Apr 30, 2012
Last updated
Dec 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Kenneth Rozenberg
Title
Member
Phone
(718) 931-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

91 Tompkins Ave
Staten Island, NY 10304-2601

Mailing address

4770 White Plains Rd
Bronx, NY 10470-1104
Phone (718) 931-9700

Other names 1

  • Richmond Physician Group Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120315000281 NY Part A Provider - Skilled Nursing Facility 2365601093 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Staten Island, NY
O20130122000209 NY Part B Supplier - Clinic/Group Practice 2365601093 Receives reassigned benefits from 27 practitioners
Practice locations: Staten Island, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396003182. Details of each certification follow.

Skilled nursing facility certification: CCN 335772

Legal name
SV OPERATING THREE LLC
Doing business as
RICHMOND CENTER FOR REHABILITAION AND SPECIALTY HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 14, 1994
Last certification
Aug 21, 2023
Beds
372
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Sep 2, 2010 in NY
Enrollment address
91 Tompkins Ave
Staten Island, NY 10304-2601
Nursing home name
RICHMOND CENTER FOR REHABILITATION AND SPECIALTY HEALTHCARE
Affiliated entity
CENTERS HEALTH CARE

Other NPIs with the same Medicare PAC ID 1

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

  • SV Operating Three LLC

    dba Richmond Center for Rehabilitation and Specialty Healthcare

    • Skilled Nursing Facility
    • Staten Island, NY
    • NPI 1376813238

    2365601093

    Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Richmond Center for Rehabilitation and Specialty HCCN 335772 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 14, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
372358.9 residents per day on average
Chain
Centers Health Care36 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Individual Adp of the SNF Mar 15, 2017
Heidi Hendrix Individual Managing Control - Governing Body Jan 1, 2025
Aharon Lantzitsky Individual Managing Control - Governing Body Jan 1, 2025
Philip Buchsbaum Individual Operational/Managerial Control Jan 1, 2014
Adp of the SNF Jan 1, 2014
Yakoub Katri Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Nathan Goldman Individual Managing Control - Governing Body Jan 1, 2025
Amir Abramchik Individual 5% Or Greater Direct Ownership Interest Apr 1, 2012 2%
Adp of the SNF Apr 1, 2012
Jeffrey Sicklick Individual 5% Or Greater Direct Ownership Interest May 1, 2015 3%
Individual Adp of the SNF Apr 1, 2012
Organization, Bronx, NY LLC, Consulting firm, For-profit Adp of the SNF Oct 27, 2025
Individual Adp of the SNF Apr 1, 2012
Organization, Brooklyn, NY For-profit Adp of the SNF Oct 27, 2025
Organization, Bronx, NY LLC, For-profit Adp of the SNF Apr 1, 2012
Kenneth Rozenberg Individual 5% Or Greater Direct Ownership Interest Apr 1, 2012 95%

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 28

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.

View all 28

Affiliated clinicians 1

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1396003182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104701104",
            "telephone_number": "718-931-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 TOMPKINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042601",
            "telephone_number": "718-931-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SV OPERATING THREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-931-9700"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richmond Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.