Active NPI
Delaware Operations Assoc LLC
- Skilled Nursing Facility
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- DELAWARE OPERATIONS ASSOC LLC
- Practice address
- 1014 Delaware Ave
Buffalo, NY 14209-1606 - Phone
- (716) 883-6782
- NPI assigned
- Jun 10, 2015
- 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
- Kenneth Rozenberg
- Title
- Member
- Phone
- (718) 931-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1014 Delaware Ave
Buffalo, NY 14209-1606
Mailing address
4770 White Plains Rd
Bronx, NY 10470-1104
Phone (718) 931-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01591506 | Medicaid | NY |
Other names 1
- Buffalo Center For Rehabiltation and Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151229000231 | NY | Part A Provider - Skilled Nursing Facility | 2163723693 | Practice locations: Buffalo, NY |
Skilled nursing facility certification: CCN 335638001
- Legal name
- DELAWARE OPERATIONS ASSOC LLC
- Doing business as
- BUFFALO CENTER FOR REHABILITATION AND NURSING
- Organization structure
- LLC
- Incorporated
- Aug 1, 2013 in NY
- Enrollment address
- 1014 Delaware Ave
Buffalo, NY 14209-1606 - Nursing home name
- BUFFALO CENTER FOR REHABILITATION AND NURSING
- Affiliated entity
- CENTERS HEALTH CARE
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 |
|---|---|---|---|
| 33D0170007 | Buffalo Center for Rehabilitation and Nursing | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Adp of the SNF | Mar 19, 2025 | ||
| Adp of the SNF | Mar 21, 2025 | ||
| Heidi Hendrix | Managing Control - Governing Body | Jan 1, 2025 | |
| Aharon Lantzitsky | Managing Control - Governing Body | Jan 1, 2025 | |
| Adp of the SNF | Aug 27, 2025 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Adp of the SNF | Mar 15, 2017 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Nathan Goldman | Managing Control - Governing Body | Jan 1, 2025 | |
| Jeffrey Sicklick | 5% Or Greater Direct Ownership Interest | Dec 17, 2015 | 10% |
| Jo L Peterson | Operational/Managerial Control | Aug 18, 2025 | |
| Adp of the SNF | Aug 18, 2025 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Kenneth Rozenberg | 5% Or Greater Direct Ownership Interest | Jun 1, 2014 | 90% |
| Managing Control - Governing Body | Jan 1, 2025 | ||
| Adp of the SNF | Jun 1, 2014 | ||
| Ryan J Mikac | Operational/Managerial Control | Oct 1, 2020 | |
| Adp of the SNF | Oct 1, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Amherst, NY
- NPI 1346502689
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Niagara Falls, NY
- NPI 1306160544
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1063657591
-
- Geriatric Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1063526291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1689055295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104701104",
"telephone_number": "718-931-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142091606",
"telephone_number": "716-883-6782"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELAWARE OPERATIONS ASSOC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-10",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "ROZENBERG",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-931-9700"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01591506",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Buffalo Center For Rehabiltation and Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.