NPIMap

Organization Active NPI

Suffolk Restorative Therapy & Nursing, LLC

  • Skilled Nursing Facility
  • East Islip, NY
National Provider Identifier
1508167230
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SUFFOLK RESTORATIVE THERAPY & NURSING, LLC
Practice address
340 East Montauk Highway
East Islip, NY 11730
Phone
(516) 671-4100
NPI assigned
Nov 11, 2010
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Lisa Polimeni
Title
Director of Billing
Phone
(516) 671-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

340 East Montauk Highway
East Islip, NY 11730

Mailing address

340 East Montauk Highway
East Islip, NY 11730
Phone (516) 671-4100

Other identifiers 1

IdentifierTypeStateIssuer
00311188MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130000011 NY Part A Provider - Skilled Nursing Facility 8527254838 Practice locations: East Islip, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508167230. Details of each certification follow.

Skilled nursing facility certification: CCN 335401

Legal name
SUFFOLK RESTORATIVE THERAPY & NURSING, LLC
Doing business as
MOMENTUM AT SOUTH BAY FOR REHABILITATION & NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 25, 1973
Last certification
Jun 11, 2024
Beds
160
Ownership / control type
Partnership
Organization structure
LLCProprietary
Enrollment address
340 E Main St
East Islip, NY 11730-2820
Nursing home name
MOMENTUM AT SOUTH BAY FOR REHABILATION AND NURSING
Affiliated entity
PARAGON HEALTHNET

Care Compare: Nursing home

Medicare Care Compare
Listed as
Momentum at South Bay for Rehabilation and NursingCCN 335401 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Oct 25, 1973
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
160150.1 residents per day on average
Chain
Paragon Healthnet11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
340 East Montauk Highway LLC Organization, East Islip, NY Adp of the SNF Apr 30, 2026
Issac Laufer Individual 5% Or Greater Direct Ownership Interest Nov 17, 2010 50%
Managing Control - Governing Body Nov 17, 2010
Paulinder S Rai Individual Operational/Managerial Control Sep 19, 2022
Adp of the SNF Nov 14, 2025
Max Lebowitz Individual 5% Or Greater Direct Ownership Interest Nov 17, 2010 25%
Managing Control - Governing Body Nov 17, 2010
Chaim Lebowitz Individual 5% Or Greater Direct Ownership Interest Nov 17, 2010 25%
Managing Control - Governing Body Nov 17, 2010
Jay Itzkowitz Individual Operational/Managerial Control Jan 1, 2023
Joseph Aplustille Individual Operational/Managerial Control Sep 10, 2012
Adp of the SNF Mar 30, 2026
Lisa Polimeni Individual Corporate DirectorDirector of Billing Jan 1, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 6

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": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1508167230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 EAST MONTAUK HIGHWAY",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "516-671-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 EAST MONTAUK HIGHWAY",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "516-671-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK RESTORATIVE THERAPY & NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "POLIMENI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "516-671-4100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00311188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.