NPIMap

Organization Active NPI

Community Healthcare Network Inc

  • Federally Qualified Health Center (FQHC)
  • New York, NY
National Provider Identifier
1467529115
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTHCARE NETWORK INC
Practice address
511 West 157TH Street
New York, NY 10032-5058
Phone
(212) 781-7979
Fax
(212) 781-7963
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Alan J. Wengrofsky
Title
Cfo
Phone
(212) 545-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NY Primary

Addresses

Primary practice location

511 West 157TH Street
New York, NY 10032-5058

Mailing address

44 W 28TH Street
Floor 5
New York, NY 10001-4212
Phone (212) 545-2409

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Other names 1

  • Community League Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000987 NY Part B Supplier - Clinic/Group Practice 7416855143 Receives reassigned benefits from 108 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Long Island City, NY; Jamaica, NY; Brooklyn, NY; Bronx, NY
O20040709000984 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416855143 Practice locations: New York, NY

Federally qualified health center certification: CCN 331947

Legal name
COMMUNITY HEALTHCARE NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 7, 2004
Last certification
Sep 7, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 1978 in NY
Enrollment address
511 W 157TH St
New York, NY 10032-7601

Other NPIs with the same Medicare PAC ID 12

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

Other NPIs on the same Medicare enrollment 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Comm Healthcare Network Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Edwidge J Thomas Individual Corporate DirectorBoard Member Dec 1, 2021
Caroline Dorsen Individual Corporate DirectorBoard Member Jan 2, 2014
Robert M. Hayes Individual Corporate OfficerPresident and Ceo Jan 16, 2016
Alan J Wengrofsky Individual Corporate OfficerVice President of Finance and Cfo Oct 1, 2007
W-2 Managing EmployeeVice President of Finance and Cfo Oct 1, 2007
Taisha L Benjamin Individual Corporate OfficerChief Medical Officer Aug 21, 2014
Denise Gordon Individual Corporate DirectorBoard Member Feb 18, 2016
Elizabeth Krob-Kellner Individual Corporate DirectorBoard Chairperson Aug 13, 2004
Roger Platt Individual Corporate DirectorBoard Member Dec 1, 2021
Richard Barasch Individual Corporate DirectorBoard Member Dec 1, 2023
June E Niklus Individual Corporate DirectorBoard Vice Chairperson Oct 1, 2007
Kathleen O'Neill Individual Corporate DirectorBoard Member Dec 1, 2020
Randy P Siller Individual Corporate DirectorBoard Member Oct 1, 2013
Rhonda Kotelchuck Individual Corporate DirectorBoard Member Nov 1, 2018
Kristin L Manzolillo Individual Corporate DirectorBoard Member Oct 1, 2014
Donna E Anderson Individual Corporate DirectorBoard Member Aug 13, 2004
Harlem J. Gunness Individual Corporate DirectorBoard Member May 19, 2016
Greta Elysee Individual Corporate DirectorBoard Member Jul 20, 2004
Curtis Young Individual Corporate DirectorBoard Member Dec 1, 2021
Josephine Diaz Individual Corporate DirectorBoard Member Oct 1, 2007

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1467529115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 28TH STREET",
            "address_2": "FLOOR 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014212",
            "telephone_number": "212-545-2409",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 WEST 157TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100325058",
            "telephone_number": "212-781-7979",
            "fax_number": "212-781-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WENGROFSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-545-2481"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community League Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.