Organization Active NPI

Island Rehabilitation and Nursing Center Inc

  • Skilled Nursing Facility
  • Holtsville, NY
National Provider Identifier
1487669172
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5151318N Issued in NY
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

Updated by the provider on Dec 31, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02228191MedicaidNY

Other names 1

  • Island Nursing and Rehab Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 335835
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 30, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0998120Island Nursing and Rehab Center5537 Expressway Drive North, Holtsville, NY 11742Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

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.

NameRoleSinceShare
Noah S Finkel Individual Corporate Director Feb 15, 2021
Gerald I Angowitz Individual Corporate DirectorSecretary Feb 15, 2021
Bert E Brodsky Individual Corporate DirectorChairman Feb 15, 2021
Lee Launer Individual Corporate DirectorTreasurer Feb 15, 2021
Gurwin Healthcare System, Inc. Organization, Commack, NY Non-profit 5% Or Greater Direct Ownership Interest Jan 14, 2021 100%
Cary Wolf Individual Corporate Director Feb 15, 2021
Stuart B Almer Individual Corporate DirectorAssistant Secretary Feb 15, 2021
Louis a Viteritti Individual Corporate OfficerChief Financial Officer Feb 15, 2021
Olaf Butchma Individual Operational/Managerial Control Sep 1, 2022
Adp of the SNF Feb 13, 2025
Audrey Marchand Individual 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.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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

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

Verify at the official NPI Registry.