Active NPI
Northern Manhattan Nursing Home Inc
Doing business as Northern Manhattan Rehabilitation & Nursing Care Center Inc
- Skilled Nursing Facility
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7002355
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01628880 | Medicaid | NY |
Other names 1
- Northern Manhattan Rehabilitation & Nursing Care Center Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Cent
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Partnership
- Certified
- Jan 4, 1996
- Medicare certification status
- Active
- Certified beds
- 320
- Penalties (3 years)
- 2
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 |
|---|---|---|---|
| 33D0939804 | Northern Manhattan Nursing Home | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rivka Green | General Partnership Interest | Jan 1, 1996 | 3% |
| Michael Rausman | 5% Or Greater Direct Ownership Interest | Jan 1, 1996 | 12.5% |
| W-2 Managing Employee | Jan 1, 1996 | 12.5% | |
| Operational/Managerial Control | Jan 1, 1996 | 12.5% | |
| Suri Rausman | General Partnership Interest | Jan 1, 1996 | 3% |
| Norman S Rausman | 5% Or Greater Direct Ownership Interest | Jan 1, 1996 | 9.5% |
| W-2 Managing Employee | Jan 1, 1996 | 9.5% | |
| Operational/Managerial Control | Jan 1, 1996 | 9.5% | |
| Bracha Weits | General Partnership Interest | Jan 1, 1996 | 3% |
| Mordechai Klein | General Partnership Interest | Jan 1, 1996 | 3% |
| W-2 Managing Employee | Apr 1, 2008 | 3% | |
| Chaim Henry Rausman | 5% Or Greater Direct Ownership Interest | Jan 1, 1996 | 9.5% |
| W-2 Managing Employee | Jan 1, 1996 | 9.5% | |
| Barbara Hurwitz | 5% Or Greater Direct Ownership Interest | Jan 1, 1996 | 25% |
| W-2 Managing Employee | Jan 1, 1996 | 25% | |
| Desire Rausman | 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.
-
- Adult Day Care Clinic/Center
- New York, NY
- NPI 1972991693
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.
-
- Pulmonary Disease Physician
- Bronx, NY
- NPI 1164464970
-
- Internal Medicine Physician
- New York, NY
- NPI 1588644991
-
- Hospitalist Physician
- New York, NY
- NPI 1487087193
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"
}
]
}
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- Northern Manhattan Medical PC
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- Northern Manhattan PT PLLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.