NPIMap

Organization Active NPI

Community Healthcare Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
National Provider Identifier
1699842500
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7002119R Issued in NY
Legal business name
COMMUNITY HEALTHCARE NETWORK, INC.
Practice address
255 E Houston St
New York, NY 10002-1013
Phone
(212) 477-1120
Fax
(212) 477-8957
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Alan J. Wengrofsky
Title
Cfo
Phone
(212) 545-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7002119R NY Primary

Addresses

Primary practice location

255 E Houston St
New York, NY 10002-1013

Mailing address

44 W 28TH Street
Floor 5
New York, NY 10001-4212
Phone (212) 545-2409

Other identifiers 2

IdentifierTypeStateIssuer
04915495MedicaidNY
00695941MedicaidNY

Other names 1

  • Lower East Side 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
O20040322000987 NY Part B Supplier - Clinic/Group Practice 7416855143 Receives reassigned benefits from 108 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Long Island City, NY; Jamaica, NY; Brooklyn, NY; Bronx, NY
O20080129000472 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416855143 Practice locations: New York, NY

Federally qualified health center certification: CCN 331978

Legal name
COMMUNITY HEALTHCARE NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 27, 2008
Last certification
Mar 27, 2008
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 1978 in NY
Enrollment address
255 East Houston Street
New York, NY 10002-1013

Other NPIs with the same Medicare PAC ID 12

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

Other NPIs on the same Medicare enrollment 16

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

View all 16

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Edwidge J Thomas Individual Corporate OfficerBoard Member Aug 19, 2021
Corporate DirectorBoard Member Aug 19, 2021
Caroline Dorsen Individual Corporate OfficerVice Chair Jan 1, 2015
Corporate DirectorVice Chair Jan 1, 2015
Robert M. Hayes Individual Corporate OfficerPresident/Ceo Jan 20, 2015
Corporate DirectorPresident/Ceo Jan 20, 2015
W-2 Managing EmployeePresident and Ceo Jan 20, 2015
Alan J Wengrofsky Individual Corporate Director Oct 21, 2008
W-2 Managing Employee Oct 21, 2008
Taisha L Benjamin Individual Corporate OfficerChief Medical Officer Aug 21, 2014
Denise Gordon Individual Corporate DirectorBoard Member Dec 1, 2016
Elizabeth Krob-Kellner Individual Corporate OfficerChairperson Oct 1, 2007
Corporate DirectorChairperson Oct 1, 2007
Roger Platt Individual Corporate OfficerBoard Member Aug 19, 2021
Corporate DirectorBoard Member Aug 19, 2021
Richard Barasch Individual Corporate DirectorBoard Member Dec 1, 2023
June E Niklus Individual Corporate OfficerBoard Member Oct 1, 2007
Corporate DirectorBoard Member Oct 1, 2007
Kathleen O'Neill Individual Corporate DirectorBoard Member Dec 1, 2020
Randy P Siller Individual Corporate OfficerBoard Member May 14, 2016
Corporate DirectorBoard Member May 14, 2016
Rhonda Kotelchuck Individual Corporate OfficerBoard Member Nov 1, 2015
Corporate DirectorBoard Member Nov 1, 2015
Kristin L Manzolillo Individual Corporate OfficerSecretary Oct 1, 2013
Corporate DirectorSecretary Oct 1, 2013
Donna E Anderson Individual Corporate OfficerBoard Member Oct 1, 2007
Corporate DirectorBoard Member Oct 1, 2007
Harlem J. Gunness Individual Corporate OfficerBoard Member May 14, 2016
Corporate DirectorBoard Member May 14, 2016
Greta Elysee Individual Corporate Director Oct 1, 2007
Curtis Young Individual Corporate OfficerBoard Member Aug 19, 2021
Corporate DirectorBoard Member Aug 19, 2021
Josephine Diaz Individual Corporate OfficerBoard Member Oct 1, 2007
Corporate DirectorBoard Member Oct 1, 2007

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1699842500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 28TH STREET",
            "address_2": "FLOOR 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014212",
            "telephone_number": "212-545-2409",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E HOUSTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100021013",
            "telephone_number": "212-477-1120",
            "fax_number": "212-477-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WENGROFSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-545-2481"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7002119R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04915495",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower East Side Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.