Organization Active NPI

Delaware Operations Assoc LLC

  • Skilled Nursing Facility
  • Buffalo, NY
National Provider Identifier
1689055295
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 9, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01591506MedicaidNY

Other names 1

  • Buffalo Center For Rehabiltation and Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 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
33D0170007Buffalo Center for Rehabilitation and Nursing1014 Delaware Ave, Buffalo, NY 14209Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Organization, Bronx, NY LLC, Consulting firm, For-profit Adp of the SNF Mar 19, 2025
Organization, Brooklyn, NY For-profit Adp of the SNF Mar 21, 2025
Heidi Hendrix Individual Managing Control - Governing Body Jan 1, 2025
Aharon Lantzitsky Individual Managing Control - Governing Body Jan 1, 2025
Organization, Buffalo, NY Corporation, Medical provider/supplier, Medical staffing company, For-profit Adp of the SNF Aug 27, 2025
Individual Adp of the SNF Jun 1, 2014
Individual Adp of the SNF Mar 15, 2017
Organization, Bronx, NY LLC, For-profit Adp of the SNF Jun 1, 2014
Nathan Goldman Individual Managing Control - Governing Body Jan 1, 2025
Jeffrey Sicklick Individual 5% Or Greater Direct Ownership InterestMember Dec 17, 2015 10%
Jo L Peterson Individual Operational/Managerial Control Aug 18, 2025
Adp of the SNF Aug 18, 2025
Individual Adp of the SNF Jun 1, 2014
Kenneth Rozenberg Individual 5% Or Greater Direct Ownership InterestMember Jun 1, 2014 90%
Managing Control - Governing Body Jan 1, 2025
Individual Adp of the SNF Jun 1, 2014
Ryan J Mikac Individual 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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.