Organization Active NPI

Ditmas Park Rehabilitation & Care Center LLC

  • Pediatric Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1790452639
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ditmas Park Care CenterCCN 335648 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 23, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200204.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ditmas Park Rehabilitation Care Center2 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.

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.

NameRoleSinceShare
Zissy Indig Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 12.5%
Elie Fteha Individual Operational/Managerial Control Jan 1, 2009
Adp of the SNF Jan 1, 2009
Zalmen Leo Oberlander Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 12.5%
Sholem Oberlander Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 12.5%
Miriam Harfenes Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 12.5%
Abraham Oberlander Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 12.5%
Gitty Gutman Individual 5% Or Greater Direct Ownership Interest Jan 1, 2021 12.5%
Bmo Family Holdings LLC Organization, Brooklyn, NY LLC, Owned by another organization or individual Direct Ownership Interest Jan 1, 2019 1%
Shabsey Oberlander Individual 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 Individual Operational/Managerial Control Sep 1, 2015
Adp of the SNF Sep 1, 2015
Boruch Oberlander Individual 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.

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.

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

Sources for this page

Verify at the official NPI Registry.