Methodist Church Home for the Aged in the City of New York

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK

Practice address

4499 Manhattan College Parkway
Bronx, NY 10471

Phone

(718) 548-5100

Fax

(718) 548-3147

NPI assigned

Oct 2, 2006

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Maria Elena Perez

Title

Administrator

Phone

(718) 548-5100

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790879146. Details of each certification follow.

• CCN 335524 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 335524

Legal name

METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK

Doing business as

METHODIST HOME FOR NURSING AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1976

Last certification

May 16, 2024

Beds

120

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 1, 1920 in NY

Enrollment address

4499 Manhattan College Pkwy
Bronx, NY 10471-3919

Nursing home name

METHODIST HOME FOR NURSING AND REHABILITATION

Listed as

Rogosin at Bronx Methodist Home for Nursing & Rehabilitation, LLCCCN 332835

Overall star rating

3.0 of 5

Ownership

Non-profit

Certified

Nov 1, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Other

Dialysis stations

16

Listed as

Methodist Home for Nursing and RehabilitationCCN 335524 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jul 1, 1976

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120108.0 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Rogosin Institute at Methodist Home for Nursing and Rehabilitation LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bronx, NY
  • NPI 1477135671

  Member Of

  NPD member

All disclosed owners & managing parties 44

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

Owners & managing parties with NPI records 1

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

• Paul Cavaluzzi, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • White Plains, NY
  • NPI 1831311877

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Saumya Gupta

  • Physical Therapist
  • White Plains, NY
  • NPI 1548628894
  NPD (past)
• Ma Cristina Vermon Polo, P.T.

  • Physical Therapist
  • Bronx, NY
  • NPI 1922205400
  NPD (past)
• Angel Luis Rodriguez, M.D.

  • Internal Medicine Physician
  • Eastchester, NY
  • NPI 1356419634
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Heedeok Han, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1306372008

  Dialysis facility

  Care Compare affiliation Name & address match
• Sean Duane Kalloo, MD, MBA

  • Nephrology Physician
  • New York, NY
  • NPI 1912160250

  Dialysis facility

  Care Compare affiliation Name & address match
• Angel Luis Rodriguez, M.D.

  • Internal Medicine Physician
  • Eastchester, NY
  • NPI 1356419634

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1790879146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 MANHATTAN COLLEGE PARKWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "718-548-5100",
            "fax_number": "718-548-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 MANHATTAN COLLEGE PARKWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "718-548-5100",
            "fax_number": "718-548-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST CHURCH HOME FOR THE AGED IN THE CITY OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-548-5100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NY",
            "license": "04740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313548",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Bronx, NY
• Providers in Bronx, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.

Verify at the official NPI Registry.