NPIMap

Organization Active NPI

Bon Secours Community Hospital

  • General Acute Care Hospital
  • Port Jervis, NY
National Provider Identifier
1659360709
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BON SECOURS COMMUNITY HOSPITAL
Practice address
160 E Main St
Port Jervis, NY 12771-2253
Phone
(845) 858-7000
Fax
(845) 858-7415
NPI assigned
Oct 20, 2005
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Mr. Mario Difiglia, FHFMA
Title
Vice President
Phone
(914) 493-7909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NY Primary

Addresses

Primary practice location

160 E Main St
Port Jervis, NY 12771-2253

Mailing address

160 E Main St
Port Jervis, NY 12771-2253
Phone (845) 858-7000

Other identifiers 15

IdentifierTypeStateIssuer
811968OtherNYFIRST PRIORITY HEALTH
000000043822OtherNYGHI HMO
IC508OtherNYPHS
US HEALTCAREOtherNY0012335
1007778760003MedicaidNY
H384535OtherNYOXFORD
000000084602OtherNYTHREE RIVERS
0004836000OtherNYAMERIHEALTH
00273905MedicaidNY
IC0507OtherNYHEALTHNET
000155OtherNYBLUE CROSS
4569OtherNYWELLCARE
928114OtherNYMVP
4154304MedicaidNY
5000031OtherNYUNITED HEALTHCARE COMPLET

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001163 NY Part A Provider - Hospital 8527964774 Practice locations: Port Jervis, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659360709. Details of each certification follow.

Hospital certification: CCN 330135

Legal name
BON SECOURS COMMUNITY HOSPITAL
Doing business as
WMC HEALTH NETWORK-ROCKLAND INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 18, 2024
Beds
141
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1915 in NY
Enrollment address
160 E Main St
Port Jervis, NY 12771-2245
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Bon Secours Community HospitalCCN 330135 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Mercy Comm Hosp-ER3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Anthony E Costello Individual Corporate DirectorVice Chair Jan 1, 2023
Michael N. Rosenblut Individual Corporate DirectorBoard of Directors Jan 1, 2021
Andrew Pickens Individual Corporate OfficerExecutive Director Western Region Jun 26, 2025
Corporate DirectorExecutive Director Western Region Jun 26, 2025
W-2 Managing EmployeeExecutive Director Western Region Jun 26, 2025
Bon Secours Charity Health System, Inc. Organization, Suffern, NY Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2000 100%
Operational/Managerial Control Jan 1, 2000 100%
Marie Yezzo Individual Corporate OfficerSVP, Chief Operating Officer Jan 1, 2024
W-2 Managing EmployeeSVP, Chief Operating Officer Jan 1, 2024
Mario Difiglia Individual Corporate DirectorVice President Mar 1, 2024
Susan Gevertz Individual Corporate DirectorBoard of Directors Jan 1, 2019
David Lubarsky Individual Corporate OfficerPresident & Ceo Feb 17, 2025
Patrick Baker Individual Corporate DirectorAssistant Vice President Jan 1, 2023
Sandra Grannum Individual Corporate DirectorBoard of Directors Jan 1, 2019
Joshua Ratner Individual Corporate DirectorBoard of Directors Jan 1, 2021
Martin Rogowsky Individual Corporate OfficerBoard Member Jan 1, 2024
Tamer El-Rayess Individual Corporate Director1St Vice Chair & Treasurer-B of D Jan 1, 2014
Westchester Medical Center Health Network Organization, Valhalla, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 12, 2025 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 2

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

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

Affiliated clinicians 210

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1659360709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712253",
            "telephone_number": "845-858-7000",
            "fax_number": "845-858-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712253",
            "telephone_number": "845-858-7000",
            "fax_number": "845-858-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "DIFIGLIA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "914-493-7909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FHFMA"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "811968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000043822",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "IC508",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0012335",
            "identifier": "US HEALTCARE",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007778760003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "H384535",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "000000084602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0004836000",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00273905",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IC0507",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000155",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "4569",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "928114",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4154304",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE COMPLET",
            "identifier": "5000031",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

Verify at the official NPI Registry.