Active NPI
Fulton Operations Associates LLC
- Skilled Nursing Facility
- Gloversville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1754301N
- Legal business name
- FULTON OPERATIONS ASSOCIATES LLC
- Doing business as
- Fulton Center for Rehabilitation and Healthcare
- Practice address
- 847 County Highway 122
Gloversville, NY 12078-6413 - Phone
- (518) 773-3400
- NPI assigned
- Jan 24, 2012
- 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. Kenneth Rozenberg
- Title
- Member
- Phone
- (718) 931-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1754301N | NY | Primary |
Addresses
Primary practice location
847 County Highway 122
Gloversville, NY 12078-6413
Mailing address
4770 White Plains Rd
Bronx, NY 10470-1104
Phone (718) 931-9700
Other names 1
- Fulton Center for Rehabilitation and Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120405000044 | NY | Part A Provider - Skilled Nursing Facility | 6406017193 | Practice locations: Gloversville, NY |
Skilled nursing facility certification: CCN 335091
- Legal name
- FULTON OPERATIONS ASSOCIATES LLC
- Doing business as
- FULTON OPERATIONS ASSOCIATES
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Nov 16, 2023
- Beds
- 176
- Ownership / control type
- Corporation
- Multi-facility organization
- Centers Health Care
- Organization structure
- LLC
- Incorporated
- Apr 7, 2011 in NY
- Enrollment address
- 847 County Highway 122
Gloversville, NY 12078-6413 - Nursing home name
- FULTON CENTER FOR REHABILITATION AND HEALTHCARE
- Affiliated entity
- CENTERS HEALTH CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fulton Center for Rehabilitation and Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 176
- Chain
- Centers Health Care
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 |
|---|---|---|---|
| 33D2129957 | Fulton Center for Rehabilitation and | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- County of Fulton
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Gloversville, NY
- NPI 1073507307
Ownership & related parties
All disclosed owners & managing parties 25
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 |
|---|---|---|---|
| Adp of the SNF | Mar 21, 2025 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Adp of the SNF | Apr 1, 2012 | ||
| Heidi Hendrix | Managing Control - Governing Body | Jan 1, 2025 | |
| Joseph Dimaria | Operational/Managerial Control | Nov 13, 2023 | |
| Adp of the SNF | Nov 13, 2023 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Aharon Lantzitsky | Managing Control - Governing Body | Jan 1, 2025 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Nathan Goldman | Managing Control - Governing Body | Jan 1, 2025 | |
| Adp of the SNF | Mar 13, 2026 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Amir Abramchik | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 10% |
| Adp of the SNF | Apr 1, 2012 | ||
| Jeffrey Sicklick | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 9% |
| Adp of the SNF | Mar 13, 2026 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Yosef Yehuda | Operational/Managerial Control | Aug 12, 2024 | |
| Adp of the SNF | Aug 12, 2024 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Kenneth Rozenberg | 5% Or Greater Direct Ownership Interest | Apr 1, 2012 | 81% |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Adp of the SNF | Mar 13, 2026 | ||
| Adp of the SNF | Mar 15, 2017 | ||
| Adp of the SNF | Mar 19, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Utica, NY
- NPI 1952506230
Adp of the SNF, Operational/Managerial 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.
-
- Internal Medicine Physician
- Rome, NY
- NPI 1457492688
-
- Family Medicine Physician
- Utica, NY
- NPI 1952506230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475539200000",
"number": "1558632497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104701104",
"telephone_number": "718-931-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "847 COUNTY HIGHWAY 122",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120786413",
"telephone_number": "518-773-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULTON OPERATIONS ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-24",
"last_updated": "2016-10-04",
"status": "A",
"authorized_official_last_name": "ROZENBERG",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-931-9700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "1754301N",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fulton Center for Rehabilitation and Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.