NPIMap

Organization Active NPI

Refuah Health Center, Inc.

Doing business as Refuah Health Center

  • Federally Qualified Health Center (FQHC)
  • South Fallsburg, NY
National Provider Identifier
1649618067
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
4353202R Issued in NY
Legal business name
REFUAH HEALTH CENTER, INC.
Doing business as
Refuah Health Center
Practice address
36 Laurel Ave
South Fallsburg, NY 12779-5804
Phone
(845) 354-9300
NPI assigned
Jun 7, 2013
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
REFUAH HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Mrs. Chanie Sternberg
Title
President/Ceo
Phone
(845) 354-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 4353202R NY Primary

Addresses

Primary practice location

36 Laurel Ave
South Fallsburg, NY 12779-5804

Mailing address

728 N Main St
New Square, NY 10977-8916
Phone (884) 354-9300

Other names 1

  • Refuah Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040317001392 NY Part B Supplier - Clinic/Group Practice 4880584416 Receives reassigned benefits from 222 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Suffern, NY; Spring Valley, NY; South Fallsburg, NY; New Square, NY; Nanuet, NY; Liberty, NY
O20130628000102 NY Part A Provider - Federally Qualified Health Center (FQHC) 4880584416 Practice locations: South Fallsburg, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649618067. Details of each certification follow.

Federally qualified health center certification: CCN 331067

Legal name
REFUAH HEALTH CENTER INC
Doing business as
SOUTH FALLSBURG HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 11, 2013
Last certification
Jul 11, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 9, 1992 in NY
Enrollment address
36 Laurel Ave
South Fallsburg, NY 12779-5804
Related CCNs
331907

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Refuah Health Center Inc

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

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
Chanie Sternberg Individual Corporate OfficerPresident and Ceo Mar 5, 2012
W-2 Managing EmployeePresident & Ceo Mar 6, 2013
Sam Breuer Individual Corporate OfficerBoard Member Mar 5, 2012
Leah Weisz Individual Corporate OfficerBoard Member Mar 5, 2012
Renold Julien Individual Corporate OfficerBoard Member May 11, 2017
Avigdor Ostreicher Individual Corporate OfficerBoard Member Mar 5, 2012
Shlomie Wosner Individual Corporate OfficerBoard Member May 28, 2013
Julio Belber Individual Corporate OfficerBoard Member Mar 27, 2015
Jacob Frieder Individual Corporate OfficerBoard Member Mar 5, 2012
Devorah Spitz Individual Corporate OfficerBoard Member Mar 5, 2012

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1649618067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 N MAIN ST",
            "city": "NEW SQUARE",
            "state": "NY",
            "postal_code": "109778916",
            "telephone_number": "884-354-9300",
            "fax_number": "845-354-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 LAUREL AVE",
            "city": "SOUTH FALLSBURG",
            "state": "NY",
            "postal_code": "127795804",
            "telephone_number": "845-354-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUAH HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REFUAH HEALTH CENTER, INC.",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "STERNBERG",
        "authorized_official_first_name": "CHANIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "845-354-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "4353202R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Refuah Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Fallsburg, NY

Sources for this page

Verify at the official NPI Registry.