Active NPI
Bay Park Center for Nursing and Rehabilitation, LLC
- Skilled Nursing Facility
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7000389N
- Legal business name
- BAY PARK CENTER FOR NURSING AND REHABILITATION, LLC
- Practice address
- 801 Co Op City Blvd
Bronx, NY 10475-1603 - Phone
- (718) 239-6444
- NPI assigned
- Aug 27, 2007
- 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. Nitika Singh
- Title
- Administration
- Phone
- (718) 239-6444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7000389N | NY | Primary |
Addresses
Primary practice location
801 Co Op City Blvd
Bronx, NY 10475-1603
Mailing address
801 Co Op City Blvd
Bronx, NY 10475-1603
Phone (718) 239-6444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071019000032 | NY | Part A Provider - Skilled Nursing Facility | 4486740685 | Practice locations: Bronx, NY |
Skilled nursing facility certification: CCN 335581
- Legal name
- BAY PARK CENTER FOR NURSING AND REHABILITATION, LLC
- Doing business as
- PINNACLE MULTICARE NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1977
- Last certification
- Jun 8, 2023
- Beds
- 480
- Ownership / control type
- Partnership
- Organization structure
- LLC
- Incorporated
- Jul 1, 2007 in NY
- Enrollment address
- 801 Co Op City Blvd
Bronx, NY 10475-1603 - Nursing home name
- PINNACLE MULTICARE NURSING AND REHABILITATION CENTER
- Affiliated entity
- BENJAMIN LANDA
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pinnacle Multicare Nursing and Rehabilitation Cent
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Jan 1, 1977
- Medicare certification status
- Active
- Certified beds
- 480
- Chain
- Benjamin Landa
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 |
|---|---|---|---|
| 33D1042021 | Pinnacle Multicare Nursing and Rehabilitation | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Baypark Adc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Bronx, NY
- NPI 1568720035
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Mayer Fischel | General Partnership Interest | Jul 1, 2017 | 1% |
| Bent Philipson | 5% Or Greater Direct Ownership Interest | Jul 1, 2007 | 37.73% |
| Cheikh Fall | Operational/Managerial Control | Nov 1, 2023 | |
| Adp of the SNF | Nov 1, 2023 | ||
| Graceann White-Fraser | Adp of the SNF | Nov 1, 2023 | |
| Chana Lerner | 5% Or Greater Direct Ownership Interest | Dec 22, 2005 | 5% |
| Charlton Rhee | Operational/Managerial Control | Nov 1, 2023 | |
| Adp of the SNF | Nov 1, 2023 | ||
| Nitika Singh | Operational/Managerial Control | May 20, 2019 | |
| Adp of the SNF | May 20, 2019 | ||
| Eli Grinspan | General Partnership Interest | Jul 1, 2017 | 1% |
| Amit Saxena | Adp of the SNF | Jan 1, 2024 | |
| Debbie Santiago | Adp of the SNF | Nov 1, 2023 | |
| Benjamin Landa | 5% Or Greater Direct Ownership Interest | Jul 1, 2007 | 47.27% |
| Naomi Tessler | 5% Or Greater Direct Ownership Interest | Feb 7, 2018 | 5% |
| Berish Rubinstein | Direct Ownership Interest | Jul 1, 2017 | 3% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1851507362
Adp of the SNF
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1295230340
-
- Cardiovascular Disease Physician
- Bronx, NY
- NPI 1205073756
-
- Surgery Physician
- Bronx, NY
- NPI 1629568167
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1851507362
-
- Family Nurse Practitioner
- Bronx, NY
- NPI 1942351838
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bronx, NY
- NPI 1851507362
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1538352182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 CO OP CITY BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104751603",
"telephone_number": "718-239-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CO OP CITY BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104751603",
"telephone_number": "718-239-6444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY PARK CENTER FOR NURSING AND REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-27",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "NITIKA",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "718-239-6444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7000389N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.