Organization Active NPI

Northern Manhattan Nursing Home Inc

Doing business as Northern Manhattan Rehabilitation & Nursing Care Center Inc

  • Skilled Nursing Facility
  • New York, NY
National Provider Identifier
1609879915
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7002355 Issued in NY
Legal business name
NORTHERN MANHATTAN NURSING HOME INC
Doing business as
Northern Manhattan Rehabilitation & Nursing Care Center Inc
Practice address
116 E 125TH St
New York, NY 10035-1612
Phone
(212) 426-1284
Fax
(212) 427-9509
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Authorized official

Name
Mr. Marty Loeb
Title
Controller
Phone
(212) 426-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7002355 NY Primary

Addresses

Primary practice location

116 E 125TH St
New York, NY 10035-1612

Mailing address

116 E 125TH St
New York, NY 10035-1612
Phone (212) 426-1284

Other identifiers 1

IdentifierTypeStateIssuer
01628880MedicaidNY

Other names 1

  • Northern Manhattan Rehabilitation & Nursing Care Center Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000504 NY Part A Provider - Skilled Nursing Facility 1153422977 Practice locations: New York, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609879915. Details of each certification follow.

Skilled nursing facility certification: CCN 335792

Legal name
NORTHERN MANHATTAN NURSING HOME INC
Doing business as
NORTHERN MANHATTAN REHABILITATION & NURSING CARE CENTER, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 4, 1996
Last certification
Dec 1, 2023
Beds
320
Ownership / control type
Partnership
Organization structure
CorporationProprietary
Incorporated
Jan 1, 1993 in NY
Enrollment address
116E 125TH St
New York, NY 10035-1612
Nursing home name
NORTHERN MANHATTAN REHABILITATION AND NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Northern Manhattan Rehabilitation and Nursing CentCCN 335792 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 4, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
320315.2 residents per day on average
Penalties (3 years)
2Fines totaling $67,412

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
33D0939804Northern Manhattan Nursing Home116 E 125TH Street, New York, NY 10035Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Rivka Green Individual General Partnership Interest Jan 1, 1996 3%
Michael Rausman Individual 5% Or Greater Direct Ownership Interest Jan 1, 1996 12.5%
W-2 Managing EmployeeVice President Jan 1, 1996 12.5%
Operational/Managerial ControlVice President Jan 1, 1996 12.5%
Suri Rausman Individual General Partnership Interest Jan 1, 1996 3%
Norman S Rausman Individual 5% Or Greater Direct Ownership Interest Jan 1, 1996 9.5%
W-2 Managing EmployeeVice President Jan 1, 1996 9.5%
Operational/Managerial ControlVice President Jan 1, 1996 9.5%
Bracha Weits Individual General Partnership Interest Jan 1, 1996 3%
Mordechai Klein Individual General Partnership Interest Jan 1, 1996 3%
W-2 Managing EmployeeShare Holder Apr 1, 2008 3%
Chaim Henry Rausman Individual 5% Or Greater Direct Ownership Interest Jan 1, 1996 9.5%
W-2 Managing EmployeeShare Holder Jan 1, 1996 9.5%
Barbara Hurwitz Individual 5% Or Greater Direct Ownership Interest Jan 1, 1996 25%
W-2 Managing EmployeeShare Holder Jan 1, 1996 25%
Desire Rausman Individual General Partnership Interest Jan 1, 1996 3%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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 1

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1609879915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351612",
            "telephone_number": "212-426-1284",
            "fax_number": "212-427-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351612",
            "telephone_number": "212-426-1284",
            "fax_number": "212-427-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MANHATTAN NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "LOEB",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "212-426-1284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7002355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01628880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Manhattan Rehabilitation & Nursing Care Center Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.