NPIMap

Organization Active NPI

Montclair Care Center Inc

  • Pediatric Skilled Nursing Facility
  • Glen Cove, NY
National Provider Identifier
1639234149
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
MONTCLAIR CARE CENTER INC
Practice address
2 Medical PLZ
Glen Cove, NY 11542
Phone
(516) 671-0858
Fax
(516) 671-0988
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Authorized official

Name
Mr. Issac Laufer
Title
Owner
Phone
(516) 671-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

2 Medical PLZ
Glen Cove, NY 11542

Mailing address

2 Medical PLZ
Glen Cove, NY 11542-2108
Phone (516) 671-0858

Other identifiers 1

IdentifierTypeStateIssuer
01800628MedicaidNY

Other names 2

  • EMERGE NURSING AND REHABILITATION AT GLEN COVE Doing business as
  • marquis care center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090120000555 NY Part A Provider - Skilled Nursing Facility 7315000262 Practice locations: Glen Cove, NY

Skilled nursing facility certification: CCN 335141

Legal name
MONTCLAIR CARE CENTER INC
Doing business as
EMERGE NURSING AND REHABILITATION AT GLEN COVE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jan 2, 2025
Beds
102
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 27, 1998 in NY
Enrollment address
2 Medical PLZ
Glen Cove, NY 11542-2108
Nursing home name
EMERGE NURSING AND REHABILITATION AT GLEN COVE
Affiliated entity
PARAGON HEALTHNET

Care Compare: Nursing home

Medicare Care Compare
Listed as
Emerge Nursing and Rehabilitation at Glen CoveCCN 335141
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 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
10293.2 residents per day on average
Chain
Paragon Healthnet11 facilities in the chain

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
33D0880245Montclair Care Center Dba Emerge Nursing2 Medical Plaza, Glen Cove, NY 11542Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

2 Medical Plz
Ofc
Glen Cove, NY 11542

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Issac Laufer Individual 5% Or Greater Indirect Ownership Interest May 2, 2018 100%
Advanced Nursing and Rehabilitation at Glen Cove LLC Organization, Glen Cove, NY Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 5, 2018 100%
Jerome Enella Individual W-2 Managing Employee Aug 8, 2008
Lisa Polimeni Individual W-2 Managing Employee Apr 30, 2018

Practitioners & affiliated clinicians

Practitioners 4

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1639234149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLZ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422108",
            "telephone_number": "516-671-0858",
            "fax_number": "516-671-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLZ",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "11542",
            "telephone_number": "516-671-0858",
            "fax_number": "516-671-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "LAUFER",
        "authorized_official_first_name": "ISSAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-671-0858",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01800628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERGE NURSING AND REHABILITATION AT GLEN COVE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "marquis care center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.