Active NPI
Ditmas Park Rehabilitation & Care Center LLC
- Skilled Nursing Facility
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- PENDING
- Legal business name
- DITMAS PARK REHABILITATION & CARE CENTER LLC
- Practice address
- 2107 Ditmas Ave
Brooklyn, NY 11226-6903 - Phone
- (718) 462-8100
- Fax
- (718) 941-6051
- NPI assigned
- Feb 9, 2009
- Last updated
- May 16, 2023
- 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. Shabse Oberlander
- Title
- Partner
- Phone
- (718) 462-8100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | PENDING | NY | Primary |
| Pediatric Skilled Nursing Facility | 3140N1450X | NU |
Addresses
Primary practice location
2107 Ditmas Ave
Brooklyn, NY 11226-6903
Mailing address
2107 Ditmas Ave
Brooklyn, NY 11226-6903
Phone (718) 462-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1497994800. Details of each certification follow.
Skilled nursing facility certification: CCN 335648
- Legal name
- DITMAS PARK REHABILITATION & CARE CENTER LLC
- Doing business as
- DITMAS PARK REHAB & CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 23, 1981
- Last certification
- Aug 28, 2024
- Beds
- 200
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 2107 Ditmas Ave
Brooklyn, NY 11226-6903 - Nursing home name
- DITMAS PARK CARE CENTER
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pediatric Skilled Nursing Facility
- Brooklyn, NY
- NPI 1790452639
O20090506000196
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ditmas Park Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 23, 1981
- Medicare certification status
- Active
- Certified beds
- 200
National Provider Directory
National Provider Directory- Tax ID family
- Ditmas Park Rehabilitation Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Skilled Nursing Facility
- Brooklyn, NY
- NPI 1790452639
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Zissy Indig | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Elie Fteha | Operational/Managerial Control | Jan 1, 2009 | |
| Adp of the SNF | Jan 1, 2009 | ||
| Zalmen Leo Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Sholem Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Miriam Harfenes | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Abraham Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Gitty Gutman | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Bmo Family Holdings LLC | Direct Ownership Interest | Jan 1, 2019 | 1% |
| Shabsey Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Corporate Director | Jan 1, 2009 | ||
| Operational/Managerial Control | Jan 1, 2009 | ||
| Adp of the SNF | Jan 1, 2015 | ||
| Mendel Rottenberg | Operational/Managerial Control | Sep 1, 2015 | |
| Adp of the SNF | Sep 1, 2015 | ||
| Boruch Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 11.5% |
| Adp of the SNF | Jan 1, 2015 | ||
| Direct Ownership Interest | Jan 1, 2021 | 11.5% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1154493575
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1518226869
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1184159766
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1548660806
-
- Pulmonary Disease Physician
- Brooklyn, NY
- NPI 1073568184
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1144463084
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1154493575
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1366901282
-
- Pediatric Allergy/Immunology Physician
- Brooklyn, NY
- NPI 1134114192
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1427034974
-
- Internal Medicine Physician
- Bayonne, NJ
- NPI 1023679974
-
- Pediatric Adolescent Medicine Physician
- Highland Park, NJ
- NPI 1124124458
Affiliated clinicians 5
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": "1234137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1497994800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266903",
"telephone_number": "718-462-8100",
"fax_number": "718-941-6051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266903",
"telephone_number": "718-462-8100",
"fax_number": "718-941-6051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DITMAS PARK REHABILITATION & CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-09",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "OBERLANDER",
"authorized_official_first_name": "SHABSE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "718-462-8100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "PENDING",
"primary": true
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Ditmas Heights Gastroenterology PC
- Ditmas Park Adult Day Care LLC
- Ditmas Park Dental, PC (Flatbush Dental)
- Ditmas Park Dialysis Center LLC
- Ditmas Park Pharmacy Inc (Ditmas Park Pharmacy)
- Ditmas Park Rehabilitation & Care Center LLC
- Ditmas Park Wellness PT PLLC
- Ditmas Pharmacy Corp
- Dinean Ann Ditolla, MS,CCC-SLP
- Oksana Ditwell, AGNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.