NPIMap

Organization Active NPI

Community Healthcare Network, Inc.

Doing business as Carribean House Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1811064744
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTHCARE NETWORK, INC.
Doing business as
Carribean House Health Center
Practice address
1167 Nostrand Ave
Brooklyn, NY 11225-5417
Phone
(718) 778-0198
Fax
(718) 221-8169
NPI assigned
Nov 29, 2006
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Alan J. Wengrofsky
Title
Cfo
Phone
(212) 545-2481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NY Primary

Addresses

Primary practice location

1167 Nostrand Ave
Brooklyn, NY 11225-5417

Mailing address

44 W 28TH Street
Floor 5
New York, NY 10001-4212
Phone (212) 545-2409

Other names 1

  • Carribean House Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000987 NY Part B Supplier - Clinic/Group Practice 7416855143 Receives reassigned benefits from 108 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New York, NY; Long Island City, NY; Jamaica, NY; Brooklyn, NY; Bronx, NY
O20040709000894 NY Part A Provider - Federally Qualified Health Center (FQHC) 7416855143 Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811064744. Details of each certification follow.

Federally qualified health center certification: CCN 331954

Legal name
COMMUNITY HEALTHCARE NETWORK INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 12, 2007
Last certification
Mar 12, 2007
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 18, 1978 in NY
Enrollment address
1167 Nostrand Avenue
Brooklyn, NY 11225-5417
Related CCNs
331843

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Community Hlthcare Networ14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

4215 3rd Ave
Bronx, NY 10457
Phone (718) 294-5891

94 Manhattan Ave
#98
Brooklyn, NY 11206

9004 161st St
Jamaica, NY 11432
Phone (718) 206-1000

9004 161st St
Fl 5
Jamaica, NY 11432
Phone (718) 523-2123

145 E 125th St
Frnt 3
New York, NY 10035
Phone (718) 408-6522

350 Grand St
New York, NY 10002
Phone (212) 475-4773

504 W 158th St
New York, NY 10032
Phone (212) 781-7979

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Edwidge J Thomas Individual Corporate OfficerBoard Member Aug 19, 2021
Corporate DirectorBoard Member Aug 19, 2021
Caroline Dorsen Individual Corporate DirectorVice Chair Dec 1, 2015
Robert M. Hayes Individual Corporate DirectorPresident and Ceo Jan 15, 2020
W-2 Managing EmployeePresident and Ceo Jan 20, 2015
Alan J Wengrofsky Individual Corporate Director Oct 1, 2007
W-2 Managing Employee Oct 1, 2007
Taisha L Benjamin Individual Corporate OfficerChief Medical Officer Aug 21, 2014
Denise Gordon Individual Corporate OfficerBoard Member Feb 18, 2016
Corporate DirectorBoard Member Feb 18, 2016
Elizabeth Krob-Kellner Individual Corporate OfficerBoard Chair Feb 14, 2007
Corporate DirectorBoard Chair Feb 14, 2007
Roger Platt Individual Corporate OfficerBoard Member Aug 19, 2021
Corporate DirectorBoard Member Aug 19, 2021
Richard Barasch Individual Corporate DirectorBoard Member Dec 1, 2023
June E Niklus Individual Corporate OfficerVice Chairperson Feb 14, 2007
Corporate DirectorVice Chairperson Feb 14, 2007
Kathleen O'Neill Individual Corporate DirectorBoard Member Dec 1, 2020
Randy P Siller Individual Corporate OfficerBoard Member May 14, 2014
Corporate DirectorBoard Member May 14, 2014
Rhonda Kotelchuck Individual Corporate OfficerBoard Member Nov 1, 2018
Corporate DirectorBoard Member Nov 1, 2018
Kristin L Manzolillo Individual Corporate OfficerBoard Member May 1, 2018
Corporate DirectorBoard Member May 1, 2018
Donna E Anderson Individual Corporate Director Feb 14, 2007
Harlem J. Gunness Individual Corporate OfficerBoard Member May 14, 2016
Corporate DirectorBoard Member May 14, 2016
Greta Elysee Individual Corporate OfficerBoard Member Jul 19, 2004
Corporate DirectorBoard Member Jul 19, 2004
Curtis Young Individual Corporate OfficerBoard Member Aug 19, 2021
Corporate DirectorBoard Member Aug 19, 2021
Josephine Diaz Individual Corporate OfficerBoard Member Feb 14, 2007
Corporate DirectorBoard Member Feb 14, 2007

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1811064744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W 28TH STREET",
            "address_2": "FLOOR 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100014212",
            "telephone_number": "212-545-2409",
            "fax_number": "646-312-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112255417",
            "telephone_number": "718-778-0198",
            "fax_number": "718-221-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTHCARE NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WENGROFSKY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "212-545-2481"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carribean House Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.