Active NPI
Island Rehabilitation and Nursing Center Inc
- Skilled Nursing Facility
- Holtsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 5151318N
- Legal business name
- ISLAND REHABILITATION AND NURSING CENTER INC
- Practice address
- 5537 Expressway Dr N
Holtsville, NY 11742-1316 - Phone
- (631) 758-3336
- Fax
- (631) 930-7413
- NPI assigned
- Jul 30, 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
- Mr. Louis Viteritti
- Title
- Chief Financial Officer
- Phone
- (631) 715-2511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 5151318N | NY | Primary |
Addresses
Primary practice location
5537 Expressway Dr N
Holtsville, NY 11742-1316
Mailing address
5537 Expressway Dr N
Holtsville, NY 11742-1316
Phone (631) 758-3336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02228191 | Medicaid | NY |
Other names 1
- Island Nursing and Rehab Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060113000363 | NY | Part A Provider - Skilled Nursing Facility | 9537182795 | Practice locations: Holtsville, NY |
Skilled nursing facility certification: CCN 335835
- Legal name
- ISLAND REHABILITATION AND NURSING CENTER INC
- Doing business as
- ISLAND NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 30, 2001
- Last certification
- Jun 11, 2024
- Beds
- 120
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Enrollment address
- 5537 Expressway Dr N
Holtsville, NY 11742-1316 - Nursing home name
- ISLAND NURSING AND REHAB CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Island Nursing and Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 30, 2001
- Medicare certification status
- Active
- Certified beds
- 120
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 |
|---|---|---|---|
| 33D0998120 | Island Nursing and Rehab Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Noah S Finkel | Corporate Director | Feb 15, 2021 | |
| Gerald I Angowitz | Corporate Director | Feb 15, 2021 | |
| Bert E Brodsky | Corporate Director | Feb 15, 2021 | |
| Lee Launer | Corporate Director | Feb 15, 2021 | |
| Gurwin Healthcare System, Inc. | 5% Or Greater Direct Ownership Interest | Jan 14, 2021 | 100% |
| Cary Wolf | Corporate Director | Feb 15, 2021 | |
| Stuart B Almer | Corporate Director | Feb 15, 2021 | |
| Louis a Viteritti | Corporate Officer | Feb 15, 2021 | |
| Olaf Butchma | Operational/Managerial Control | Sep 1, 2022 | |
| Adp of the SNF | Feb 13, 2025 | ||
| Audrey Marchand | Operational/Managerial Control | Feb 15, 2021 | |
| Adp of the SNF | Feb 13, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Westhampton, NY
- NPI 1326037474
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Commack, NY
- NPI 1669472304
Gurwin Healthcare System, Inc.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Westhampton, NY
- NPI 1326037474
-
- Adult Medicine Physician
- Plainview, NY
- NPI 1891873691
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": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1487669172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537 EXPRESSWAY DR N",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421316",
"telephone_number": "631-758-3336",
"fax_number": "631-930-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5537 EXPRESSWAY DR N",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117421316",
"telephone_number": "631-758-3336",
"fax_number": "631-930-7413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND REHABILITATION AND NURSING CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A",
"authorized_official_last_name": "VITERITTI",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "631-715-2511",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "5151318N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02228191",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Island Nursing and Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Holtsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.