NPIMap

Organization Active NPI

Tcprnc, LLC

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1699225169
Registry record updated Oct 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TCPRNC, LLC
Practice address
100 W Kingsbridge Rd
Bronx, NY 10468-3961
Phone
(718) 410-1500
NPI assigned
Oct 9, 2016
Last updated
Oct 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2016

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

Authorized official

Name
Leo Friedman
Title
Manager / Member
Phone
(718) 410-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

100 W Kingsbridge Rd
Bronx, NY 10468-3961

Mailing address

100 W Kingsbridge Rd
Bronx, NY 10468-3961

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161110002142 NY Part A Provider - Skilled Nursing Facility 8123307345 Practice locations: Bronx, NY
O20180228001278 NY Part B Supplier - Clinic/Group Practice 8123307345 Receives reassigned benefits from 15 practitioners
Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699225169. Details of each certification follow.

Skilled nursing facility certification: CCN 335462

Legal name
TCPRNC, LLC
Doing business as
THE PLAZA REHAB AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1976
Last certification
May 6, 2025
Beds
816
Ownership / control type
Partnership
Most recent change of ownership
Sep 21, 2016
Organization structure
LLCProprietary
Incorporated
Aug 27, 2015 in NY
Enrollment address
100 W Kingsbridge Rd
Bronx, NY 10468-3961
Nursing home name
THE PLAZA REHAB AND NURSING CENTER
Affiliated entity
CITADEL CARE CENTERS

Other NPIs with the same Medicare PAC ID 1

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

  • Tcprnc, LLC

    dba New Riverdale Rehab and Nurisng

    • Skilled Nursing Facility
    • Bronx, NY
    • NPI 1851908008

    8123307345

    Same PAC ID

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Plaza Rehab and Nursing CenterCCN 335462 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Jan 1, 1976
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
816733.1 residents per day on average
Chain
Citadel Care Centers5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
New Riverdale Rehab and Nurisng2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Tcprnc, LLC

    dba New Riverdale Rehab and Nurisng

    • Skilled Nursing Facility
    • Bronx, NY
    • NPI 1851908008
    NPD tax ID

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Avi Philipson Individual 5% Or Greater Direct Ownership Interest Jun 14, 2023 20.83%
Corporate OfficerMember Jun 14, 2023 20.83%
Takeena Roberts Individual Operational/Managerial Control Jul 22, 2024
Adp of the SNF Jul 22, 2024
Mary Grace Asufrin Individual Operational/Managerial Control Oct 3, 2022
Adp of the SNF Oct 3, 2022
Tyler Bogen Individual Operational/Managerial Control Aug 19, 2024
Adp of the SNF Aug 19, 2024
Khashayar Yazdanbakhsh Individual Operational/Managerial Control Jan 23, 2020
Adp of the SNF Jan 23, 2020
Tcprnc Real Estate LLC Organization, Brooklyn, NY LLC Adp of the SNF Sep 21, 2016
Organization, Spring Valley, NY LLC Adp of the SNF Jan 1, 2024
Monica Terrano Individual Corporate OfficerChief Financial Officer Sep 21, 2016
Julissa Rodriguez Individual Operational/Managerial Control Oct 1, 2018
Adp of the SNF Oct 1, 2018
Randolf Palmaira Individual Operational/Managerial Control Apr 16, 2018
Adp of the SNF Apr 16, 2018
Citadel Consulting Group Organization, Brooklyn, NY Consulting firm Adp of the SNF Sep 21, 2016
Raquel Philipson Individual 5% Or Greater Direct Ownership Interest Jun 14, 2023 20.83%
Corporate OfficerMember Jun 14, 2023 20.83%
Leopold Friedman Individual 5% Or Greater Direct Ownership Interest Jun 14, 2023 58.34%
Corporate OfficerManager / Member Jun 14, 2023 58.34%
Managing Control - Governing Body Sep 21, 2016
Adp of the SNF Jan 1, 2024

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 26

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 26

Affiliated clinicians 10

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": "1475971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475971200000",
    "number": "1699225169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W KINGSBRIDGE RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683961",
            "telephone_number": "718-410-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCPRNC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-09",
        "last_updated": "2016-10-09",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "MANAGER / MEMBER",
        "authorized_official_telephone_number": "718-410-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.