Williamsville Suburban, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1421306N Issued in NY

Legal business name

WILLIAMSVILLE SUBURBAN, LLC

Practice address

193 S Union Rd
Williamsville, NY 14221-6531

Phone

(716) 633-2961

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Mayer Z. Lipschitz, LNHA

Title

Regional Administrator

Phone

(845) 709-3412

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Skilled nursing facility certification: CCN 335647

Legal name

WILLIAMSVILLE SUBURBAN, LLC

Doing business as

WILLIAMSVILLE SUBURBAN NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 4, 1981

Last certification

Oct 28, 2024

Beds

220

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Jan 1, 2004

Organization structure

LLCProprietary

Incorporated

Sep 30, 2003 in NY

Enrollment address

193 S Union Rd
Williamsville, NY 14221-6531

Nursing home name

WILLIAMSVILLE SUBURBAN, L L C

Listed as

Williamsville Suburban, L L CCCN 335647

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 4, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

220208.5 residents per day on average

Penalties (3 years)

2Fines totaling $43,973

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Practitioners 2

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

• Seth Mensah, M.D.

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1104911197
  NPD (past)
• Jyotsna Rajeswary, MD

  • Internal Medicine Physician
  • West Seneca, NY
  • NPI 1639141633
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Seth Mensah, M.D.

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1104911197

  Nursing home

  Care Compare affiliation
• Jyotsna Rajeswary, MD

  • Internal Medicine Physician
  • West Seneca, NY
  • NPI 1639141633

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1447357157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165-193 SOUTH UNION ROAD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-276-1900",
            "fax_number": "716-634-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 S UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216531",
            "telephone_number": "716-633-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSVILLE SUBURBAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "LIPSCHITZ",
        "authorized_official_first_name": "MAYER",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "REGIONAL ADMINISTRATOR",
        "authorized_official_telephone_number": "845-709-3412",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1421306N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00663456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Williamsville Optical LLC
• Williamsville Orthopedic Surgery,PC
• Williamsville Pediatric Center
• Williamsville Physical Therapy PLLC
• Williamsville Psychiatry, PLLC
• Briana Marie Willick
• Shannon Willis
• Anne Marie Willms, CRNA
• Ian Jermaine Wilson, M.D.
• Jared Jay Wilson, DO

• Skilled Nursing Facility in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.

Verify at the official NPI Registry.