Active NPI
Cliffside Nursing Home Inc
Doing business as Cliffside Rehabilitation & Residential Health Care Center
- Skilled Nursing Facility
- Flushing, NY
On this page
- Key facts
- NPPES NPI Registry
- Medicare participation
- Care Compare: Dialysis facility
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- National Provider Directory
- Ownership & related parties
- Practitioners & affiliated clinicians
- NPI Registry JSON
- Other providers in Flushing, NY
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CLIFFSIDE NURSING HOME INC
- Doing business as
- Cliffside Rehabilitation & Residential Health Care Center
- Practice address
- 119-19 Graham CT
Flushing, NY 11354 - Phone
- (718) 886-0700
- Fax
- (718) 888-0499
- NPI assigned
- Jun 8, 2007
- 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
- Mr. Moshe Lieberman
- Title
- Comptroller
- Phone
- (718) 886-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
119-19 Graham CT
Flushing, NY 11354
Mailing address
119-19 Graham CT
Flushing, NY 11354-1047
Phone (718) 886-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00309504 | Medicaid | NY |
Other names 1
- Cliffside Rehabilitation & Residential Health Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091026000555 | NY | Part A Provider - Skilled Nursing Facility | 9830236728 | Practice locations: Flushing, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699978452. Details of each certification follow.
Skilled nursing facility certification: CCN 335349
- Legal name
- CLIFFSIDE NURSING HOME INC
- Doing business as
- CLIFFSIDE REHABILITATION & RESIDENTIAL HCC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1974
- Last certification
- May 16, 2023
- Beds
- 218
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Enrollment address
- 11919 Graham CT
Flushing, NY 11354-1096 - Nursing home name
- CLIFFSIDE REHAB & RESIDENTIAL HEALTH CARE CENTER
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- CRD Associates LLC Cliffside Nursing Home
- Ownership
- Profit
- Certified
- Dec 21, 2005
- Medicare certification status
- Active
- Dialysis stations
- 6
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cliffside Rehab & Residential Health Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1974
- Medicare certification status
- Active
- Certified beds
- 218
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 |
|---|---|---|---|
| 33D2151936 | Cliffside Nursing Home Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Cliffside Nursing Home Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cliffside Rehabilitation & Residential Health Care Center
- Skilled Nursing Facility
- Flushing, NY
- NPI 1366820342
Locations
11919 Graham Ct
Flushing, NY 11354
Phone (718) 552-1000
Ownership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Jack Deutsch | 5% Or Greater Direct Ownership Interest | Jan 1, 1988 | 76.5% |
| Operational/Managerial Control | Dec 3, 2024 | ||
| Managing Control - Governing Body | Jan 1, 1972 | ||
| Estate of Esther Friedman | 5% Or Greater Direct Ownership Interest | Oct 25, 2023 | 5.87% |
| Adp of the SNF | Jan 14, 2025 | ||
| Gloria Lieberman | 5% Or Greater Direct Ownership Interest | Oct 1, 2022 | 5.87% |
| Wehbeh Anis Wehbeh | Operational/Managerial Control | Dec 20, 2024 | |
| Adp of the SNF | Dec 20, 2024 | ||
| Shmuel Freedman | Operational/Managerial Control | Jun 22, 2009 | |
| Adp of the SNF | Jun 22, 2009 | ||
| Esther Solomon | 5% Or Greater Direct Ownership Interest | Oct 1, 2022 | 5.87% |
| Saul Goldbaum | 5% Or Greater Direct Ownership Interest | Oct 1, 2022 | 5.87% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1780755850
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Forest View Center for Rehabilitation and Nursing
- Skilled Nursing Facility
- Forest Hills, NY
- NPI 1396732921
Estate of Esther Friedman
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1609855725
-
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1790850998
-
- Internal Medicine Physician
- Franklin Square, NY
- NPI 1467450759
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1154841088
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1114064425
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1558525196
Affiliated clinicians 6
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": "1181260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434326400000",
"number": "1699978452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119-19 GRAHAM CT",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541047",
"telephone_number": "718-886-0700",
"fax_number": "718-888-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119-19 GRAHAM CT",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-886-0700",
"fax_number": "718-888-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFFSIDE NURSING HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-08",
"last_updated": "2015-06-15",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "COMPTROLLER",
"authorized_official_telephone_number": "718-886-0700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00309504",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cliffside Rehabilitation & Residential Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flushing, NY
- Krista Clerge, WHNP
- Marie Clerine
- Clifford Blumstein MD PC
- Clifford Trading LLC
- Cliffside Nursing Home Inc (Cliffside Rehabilitation & Residential Health Care Center)
- Clinix Pharmacy Inc (Main Pharmacy)
- Clny Health Inc.
- Cloud Chiropractic P.C.
- Jana Camille Hitgano Clough, DO
- Wolfgang Amadeus Clough, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.