Active NPI
Sea Crest Acquisition I LLC
Doing business as Sea Crest Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SEA CREST ACQUISITION I LLC
- Doing business as
- Sea Crest Nursing and Rehabilitation Center
- Practice address
- 3035 W 24TH St
Brooklyn, NY 11224-2114 - Phone
- (718) 372-4500
- NPI assigned
- Jun 28, 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
- Pasquale Debenedictis
- Title
- Manager / Member
- Phone
- (516) 422-7818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NY | Primary |
Addresses
Primary practice location
3035 W 24TH St
Brooklyn, NY 11224-2114
Mailing address
3035 W 24TH St
Brooklyn, NY 11224-2114
Phone (718) 372-4500
Other names 1
- Sea Crest Nursing and Rehabilitation 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 |
|---|---|---|---|---|
| O20150918000487 | NY | Part A Provider - Skilled Nursing Facility | 6800103169 | Practice locations: Brooklyn, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1720460579. Details of each certification follow.
Skilled nursing facility certification: CCN 335411
- Legal name
- SEA CREST ACQUISITION I, LLC
- Doing business as
- SEA CREST NURSING AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1973
- Last certification
- Oct 10, 2023
- Beds
- 320
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jan 17, 2013 in NY
- Enrollment address
- 3035 W 24TH St
Brooklyn, NY 11224-2114 - Nursing home name
- SEA CREST NURSING AND REHABILITATION CENTER
- Affiliated entity
- CASSENA CARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Sea Crest Nursing And Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 1973
- Medicare certification status
- Active
- Certified beds
- 320
- Chain
- Cassena 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 |
|---|---|---|---|
| 33D0967369 | Sea Crest Nursing and Rehabilitation Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
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 |
|---|---|---|---|
| Michael Schrieber | 5% Or Greater Direct Ownership Interest | Jan 17, 2013 | 30% |
| Corporate Officer | Jan 17, 2013 | 30% | |
| Pasquale Debenedictis | 5% Or Greater Direct Ownership Interest | Jan 17, 2013 | 32.5% |
| Corporate Officer | Jan 17, 2013 | 32.5% | |
| Arthur Cooperberg | Operational/Managerial Control | Jan 17, 2015 | |
| Anthony Derosa | Operational/Managerial Control | Jan 17, 2013 | |
| Solomon Rutenberg | 5% Or Greater Direct Ownership Interest | Jan 17, 2013 | 5% |
| Corporate Officer | Jan 17, 2013 | 5% | |
| Alex Solovey | 5% Or Greater Direct Ownership Interest | Jan 17, 2013 | 32.5% |
| Corporate Officer | Jan 17, 2013 | 32.5% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Physical Therapist
- Bronx, NY
- NPI 1972678662
5% Or Greater Direct Ownership Interest, Corporate Officer
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1841283058
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1144361593
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1457501447
Affiliated clinicians 2
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": "1435449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1720460579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3035 W 24TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112242114",
"telephone_number": "718-372-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 W 24TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112242114",
"telephone_number": "718-372-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA CREST ACQUISITION I LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-28",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "DEBENEDICTIS",
"authorized_official_first_name": "PASQUALE",
"authorized_official_title_or_position": "MANAGER / MEMBER",
"authorized_official_telephone_number": "516-422-7818"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sea Crest Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
- SDF Pharmacy, Inc. (Unimed Family Health Care Pharmacy)
- SDMJ LLC
- Sea Breeze Car Service
- Sea Breeze Pharmacy & Medical Supply Inc.
- Sea Breeze Podiatry Associates
- Sea Crest Acquisition II, LLC (Cassena Kidney Care at Sea Crest)
- Sea Crest Health Care Center
- Sea Gate Medical
- Seabreeze Endoscopy Inc
- Seabreeze Medical, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.