Organization Active NPI

Beach Terrace Care Center Inc

  • Skilled Nursing Facility
  • Long Beach, NY
National Provider Identifier
1508893025
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2902303N Issued in NY
Legal business name
BEACH TERRACE CARE CENTER INC
Practice address
640 W Broadway
Long Beach, NY 11561-2900
Phone
(516) 431-4400
Fax
(516) 431-1622
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Mr. Martin Zwick
Title
Administrator
Phone
(516) 431-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2902303N NY Primary

Addresses

Primary practice location

640 W Broadway
Long Beach, NY 11561-2900

Mailing address

640 W Broadway
Long Beach, NY 11561-2900
Phone (516) 431-4400

Other identifiers 1

IdentifierTypeStateIssuer
00309857MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071212000434 NY Part A Provider - Skilled Nursing Facility 3779673934 Practice locations: Long Beach, NY

Skilled nursing facility certification: CCN 335024

Legal name
BEACH TERRACE CARE CENTER INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jul 8, 2024
Beds
182
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
640 W Broadway
Long Beach, NY 11561-2900
Nursing home name
BEACH TERRACE CARE CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Beach Terrace Care CenterCCN 335024
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
182173.9 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
33D0154213Beach Terrace Care Center640 W Broadway, Long Beach, NY 11561Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Roman Koldayev Individual Operational/Managerial Control Sep 1, 2018
Adp of the SNF Sep 1, 2018
Avraham M Weits Individual 5% Or Greater Direct Ownership InterestPresident Feb 17, 2017 40%
Operational/Managerial Control Feb 17, 2017
Adp of the SNF Feb 21, 2017
Robn Barkherdarzdeh Individual Operational/Managerial Control Jun 5, 2023
Adp of the SNF Jun 5, 2023
Martin Zwick Individual 5% Or Greater Direct Ownership Interest Dec 2, 1992 10%
Adp of the SNF Dec 2, 1992
Dorothy Rubin Individual 5% Or Greater Direct Ownership Interest Aug 1, 1993 50%
Adp of the SNF Dec 23, 2023
Direct Ownership Interest Aug 1, 1993 50%

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 6

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

Affiliated clinicians 4

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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1508893025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612900",
            "telephone_number": "516-431-4400",
            "fax_number": "516-431-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612900",
            "telephone_number": "516-431-4400",
            "fax_number": "516-431-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH TERRACE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "ZWICK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-431-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2902303N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.