Active NPI
Northwell Health Stern Family Center for Rehabilitation
- Skilled Nursing Facility
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2951305N
- Legal business name
- NORTHWELL HEALTH STERN FAMILY CENTER FOR REHABILITATION
- Practice address
- 330 Community Dr
Manhasset, NY 11030 - Phone
- (516) 562-8000
- NPI assigned
- Jun 29, 2006
- 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
- Mrs. Michele Lee Cusack
- Title
- Senior Vice President & Cfo
- Phone
- (516) 321-6058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2951305N | NY | Primary |
Addresses
Primary practice location
330 Community Dr
Manhasset, NY 11030
Mailing address
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2951305N | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060510000397 | NY | Part A Provider - Skilled Nursing Facility | 0648281220 | Practice locations: Manhasset, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437187150. Details of each certification follow.
Skilled nursing facility certification: CCN 335702
- Legal name
- NORTHWELL HEALTH STERN FAMILY CENTER FOR REHABILITATION
- Doing business as
- THE STERN FAMILY CENTER FOR EXTENDED CARE & REHABILITATION
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1989
- Last certification
- Feb 12, 2025
- Beds
- 256
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- NORTHWELL HEALTH
- Organization structure
- Corporation
- Incorporated
- Oct 1, 1968 in NY
- Enrollment address
- 330 Community Dr
Manhasset, NY 11030-3816 - Nursing home name
- NORTHWELL HEALTH STERN FAMILY CENTER FOR REHABILITATION
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Northwell Health Stern Family Center for Rehabilit
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Apr 1, 1989
- Medicare certification status
- Active
- Certified beds
- 256
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 |
|---|---|---|---|
| 33D2192801 | Stern Family Center for Health Care | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- North Shore Un Hspextr Crrehab
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Manhasset, NY
- NPI 1881613958
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| William L Mack | Corporate Director | Mar 7, 2014 | |
| Mark L Claster | Corporate Director | Mar 7, 2014 | |
| Mark J Solazzo | Corporate Director | Mar 7, 2014 | |
| W-2 Managing Employee | Mar 7, 2014 | ||
| Richard D Goldstein | Corporate Director | Mar 7, 2014 | |
| Donald Zucker | Corporate Director | Mar 7, 2014 | |
| Barry Rubenstein | Corporate Director | Mar 7, 2014 | |
| Michael J Dowling | Corporate Director | Mar 7, 2014 | |
| W-2 Managing Employee | Mar 7, 2014 | ||
| Gerard Kaiser | W-2 Managing Employee | Jan 1, 2000 | |
| Michele L Cusack | Corporate Officer | Sep 12, 2017 | |
| David H Siskind | W-2 Managing Employee | Jan 1, 2000 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- West Islip, NY
- NPI 1942290994
W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Forest Hills, NY
- NPI 1396249116
-
- Infectious Disease Physician
- Amityville, NY
- NPI 1881601052
-
- Internal Medicine Physician
- Great Neck, NY
- NPI 1942253158
-
- Student in an Organized Health Care Education/Training Program
- New Hyde Park, NY
- NPI 1972926889
-
- Geriatric Medicine (Internal Medicine) Physician
- Manhasset, NY
- NPI 1811216112
-
- Cardiovascular Disease Physician
- Great Neck, NY
- NPI 1750359014
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1144220989
-
- Family Medicine Physician
- East Patchogue, NY
- NPI 1396127403
-
- Geriatric Medicine (Family Medicine) Physician
- West Islip, NY
- NPI 1942290994
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Forest Hills, NY
- NPI 1396249116
Nursing home
-
- Student in an Organized Health Care Education/Training Program
- New Hyde Park, NY
- NPI 1972926889
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- West Islip, NY
- NPI 1942290994
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536710400000",
"number": "1437187150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303816",
"telephone_number": "516-562-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-562-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWELL HEALTH STERN FAMILY CENTER FOR REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2018-09-12",
"status": "A",
"authorized_official_last_name": "CUSACK",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
"authorized_official_telephone_number": "516-321-6058",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "2951305N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2951305N",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
- North Shore- Long Island Jewish Health System
- North Shore-Lij Health System
- North Shore-Lij Medical Group P.C. (North Shore University Hospital Independence at Home Demonstration)
- North-Shore Hospital
- Northshore Lij Health System
- Shana Mae Novack, P.A.
- Michelle Novofastovsky, M.S, OTR/L
- Christopher Noyes
- Nslij Dental Medicine
- Nslij Manhassett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.