Active NPI
Ditmas Park Rehabilitation & Care Center LLC
- Pediatric Skilled Nursing Facility
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- Legal business name
- DITMAS PARK REHABILITATION & CARE CENTER LLC
- Practice address
- 2107 Ditmas Ave
Brooklyn, NY 11226-6903 - Phone
- (718) 462-8100
- NPI assigned
- Aug 27, 2021
- Last updated
- Jan 13, 2025
- 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
- Shabse Oberlander
- Title
- Ceo
- Phone
- (718) 462-8100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | ||
| Skilled Nursing Facility | 314000000X | NU | ||
| Pediatric Skilled Nursing Facility | 3140N1450X | NU | Primary |
Addresses
Primary practice location
2107 Ditmas Ave
Brooklyn, NY 11226-6903
Mailing address
2103 Ditmas Ave
Brooklyn, NY 11226-6903
Phone (718) 462-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090506000196 | NY | Part A Provider - Skilled Nursing Facility | 1951459676 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brooklyn, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1790452639. Details of each certification follow.
Skilled nursing facility certification: CCN 335648
- Legal name
- DITMAS PARK REHABILITATION & CARE CENTER LLC
- Doing business as
- DITMAS PARK REHAB & CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 23, 1981
- Last certification
- Aug 28, 2024
- Beds
- 200
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 2107 Ditmas Ave
Brooklyn, NY 11226-6903 - Nursing home name
- DITMAS PARK CARE CENTER
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1497994800
O20090506000196
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ditmas Park Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 23, 1981
- Medicare certification status
- Active
- Certified beds
- 200
National Provider Directory
National Provider Directory- Tax ID family
- Ditmas Park Rehabilitation Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1497994800
Locations
2103 Ditmas Ave
Brooklyn, NY 11226
Phone (718) 462-8300
Ownership & related parties
All disclosed owners & managing parties 11
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 |
|---|---|---|---|
| Zissy Indig | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Elie Fteha | Operational/Managerial Control | Jan 1, 2009 | |
| Adp of the SNF | Jan 1, 2009 | ||
| Zalmen Leo Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Sholem Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Miriam Harfenes | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Abraham Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Gitty Gutman | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Bmo Family Holdings LLC | Direct Ownership Interest | Jan 1, 2019 | 1% |
| Shabsey Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 12.5% |
| Corporate Director | Jan 1, 2009 | ||
| Operational/Managerial Control | Jan 1, 2009 | ||
| Adp of the SNF | Jan 1, 2015 | ||
| Mendel Rottenberg | Operational/Managerial Control | Sep 1, 2015 | |
| Adp of the SNF | Sep 1, 2015 | ||
| Boruch Oberlander | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 11.5% |
| Adp of the SNF | Jan 1, 2015 | ||
| Direct Ownership Interest | Jan 1, 2021 | 11.5% |
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
- Brooklyn, NY
- NPI 1154493575
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1518226869
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1184159766
-
- Internal Medicine Physician
- Fresh Meadows, NY
- NPI 1144463084
-
- Pediatric Allergy/Immunology Physician
- Brooklyn, NY
- NPI 1134114192
Affiliated clinicians 5
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": "1630022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1790452639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266903",
"telephone_number": "718-462-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 DITMAS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112266903",
"telephone_number": "718-462-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DITMAS PARK REHABILITATION & CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-27",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "OBERLANDER",
"authorized_official_first_name": "SHABSE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-462-8100"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Ditmas Park Adult Day Care LLC
- Ditmas Park Dental, PC (Flatbush Dental)
- Ditmas Park Dialysis Center LLC
- Ditmas Park Pharmacy Inc (Ditmas Park Pharmacy)
- Ditmas Park Rehabilitation & Care Center LLC
- Ditmas Park Wellness PT PLLC
- Ditmas Pharmacy Corp
- Dinean Ann Ditolla, MS,CCC-SLP
- Oksana Ditwell, AGNP
- Jillian Leigh Diuguid-Gerber, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.