NPIMap

Organization Active NPI

Waterview Nursing Care Center, Inc.

  • Skilled Nursing Facility
  • Flushing, NY
National Provider Identifier
1811072929
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7003367N Issued in NY
Legal business name
WATERVIEW NURSING CARE CENTER, INC.
Practice address
11915 27TH Ave
Flushing, NY 11354-1011
Phone
(718) 461-5000
Fax
(718) 321-1984
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Beth Goldman
Title
Authorized Official
Phone
(732) 599-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7003367N NY Primary

Addresses

Primary practice location

11915 27TH Ave
Flushing, NY 11354-1011

Mailing address

11915 27TH Ave
Flushing, NY 11354-1011
Phone (732) 599-1313

Other identifiers 1

IdentifierTypeStateIssuer
00309302MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050111000112 NY Part B Supplier - Clinic/Group Practice 4082662663 Receives reassigned benefits from 8 practitioners
Practice locations: Flushing, NY
O20090618000533 NY Part A Provider - Skilled Nursing Facility 4082662663 Practice locations: Flushing, NY

Skilled nursing facility certification: CCN 335154

Legal name
WATERVIEW NURSING CARE CENTER, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 13, 1968
Last certification
Dec 9, 2024
Beds
200
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Apr 14, 1986 in NY
Enrollment address
119-15 27TH Avenue
Attn: Joseph Mayer, Lnha
Flushing, NY 11354-1038
Nursing home name
WATERVIEW NURSING CARE CENTER
Affiliated entity
603 HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Waterview Nursing Care CenterCCN 335154 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 13, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
200177.3 residents per day on average
Chain
603 Healthcare7 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0148996Waterview Nursing Care Center119-15 27TH Avenue, Flushing, NY 11354Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Waterview Nursing 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.

Ownership & 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.

NameRoleSinceShare
Peyman Younesi Individual Operational/Managerial Control Aug 1, 2025
Adp of the SNF Aug 1, 2025
Robert Rausman Individual 5% Or Greater Direct Ownership InterestCfo Jul 1, 2023 9.9%
Adp of the SNF Jul 1, 2023
Direct Ownership Interest Jul 1, 2023 9.9%
Joseph Mayer Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Marvin Beinhorn Individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 45.05%
Adp of the SNF Aug 1, 1989
Beth Goldman Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Eric Paneth Individual 5% Or Greater Direct Ownership Interest Jul 1, 2023 45.05%
Adp of the SNF Aug 1, 1989

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 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1811072929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11915 27TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541011",
            "telephone_number": "732-599-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11915 27TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541011",
            "telephone_number": "718-461-5000",
            "fax_number": "718-321-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVIEW NURSING CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "732-599-1313"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7003367N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.