NPIMap

Organization Active NPI

Cobble Hill Health Center Inc

  • Skilled Nursing Facility
  • Brooklyn, NY
National Provider Identifier
1821049164
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7001323N Issued in NY
Legal business name
COBBLE HILL HEALTH CENTER INC
Practice address
380 Henry Street
Brooklyn, NY 11201
Phone
(718) 855-6789
Fax
(718) 522-5164
NPI assigned
May 12, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Mr. Neil Schlissel
Title
Director of Finance
Phone
(718) 855-6789

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 7001323N NY
Alzheimer Center (Dementia Center) 311500000X 7001323N NY
Skilled Nursing Facility 314000000X 7001323N NY Primary

Addresses

Primary practice location

380 Henry Street
Brooklyn, NY 11201

Mailing address

380 Henry Street
Brooklyn, NY 11201
Phone (718) 855-6789

Other identifiers 3

IdentifierTypeStateIssuer
01599724MedicaidNY
00310669MedicaidNY
02997491MedicaidNY

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120501000509 NY Part A Provider - Skilled Nursing Facility 6507879350 Practice locations: Brooklyn, NY
O20220615000989 NY Part B Supplier - Clinic/Group Practice 6507879350 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821049164. Details of each certification follow.

Skilled nursing facility certification: CCN 335174

Legal name
COBBLE HILL HEALTH CENTER INC.
Doing business as
METROPOLITAN COMMERCIAL BANK
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Feb 15, 2024
Beds
364
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
380 Henry St
Brooklyn, NY 11201-6048
Nursing home name
COBBLE HILL HEALTH CENTER INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cobble Hill Health Center IncCCN 335174 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
364354.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

822 Lexington Ave
Brooklyn, NY 11221
Phone (718) 237-1717

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
John Heyer Individual Corporate Director Jul 8, 2022
Managing Control - Governing Body Jul 8, 2022
Trustee of the SNF Jul 8, 2022
Charlie Carames Individual Corporate Director Jan 1, 2018
Managing Control - Governing Body Jan 1, 2018
Trustee of the SNF Jan 1, 2018
Leonard Jordan Individual Corporate Director Jan 1, 2016
Managing Control - Governing Body Jan 1, 2016
Trustee of the SNF Jan 1, 2016
Ira Fox Individual Corporate Director Jul 8, 2022
Managing Control - Governing Body Jul 8, 2022
Trustee of the SNF Jul 8, 2022
Cobble Hill Lifecare, Inc. Organization, Brooklyn, NY Created for acquisition, Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Nov 14, 2012 100%
Genna Brounstein Individual Corporate Director Jan 1, 2021
Managing Control - Governing Body Jan 1, 2021
Trustee of the SNF Jan 1, 2021
Martin Friedman Cpa PC Organization, Brooklyn, NY Corporation, For-profit Adp of the SNF Jan 1, 2019
Metropolitan Commercial Bank Organization, New York, NY Corporation, Holding company, Financial institution 5% Or Greater Mortgage Interest Dec 9, 2024
5% Or Greater Security Interest Dec 9, 2024
Adp of the SNF Mar 11, 2025
Ciril J Godec Individual Corporate Director Jan 1, 1980
Managing Control - Governing Body Jan 1, 1980
Trustee of the SNF Jan 1, 1980
Theradynamics Rehab Management, LLC Organization, Woodbury, NY LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2014
Thomas E Spath Individual Corporate DirectorChairman of the Board Jan 1, 1977
Managing Control - Governing Body Jan 1, 1977
Trustee of the SNF Jan 1, 1977
Rudy W Kamuf Individual Corporate Director Jan 1, 2014
Managing Control - Governing Body Jan 1, 2014
Trustee of the SNF Jan 1, 2014
Daniel Y Tuchman Individual Corporate OfficerPresident and Ceo, Administrator Apr 11, 2018
Operational/Managerial Control Apr 11, 2018
Managing Control - Governing Body Apr 11, 2018
Adp of the SNF Apr 11, 2018
Olusegun Ogunfowora Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Joan Millman Individual Corporate Director Jan 1, 2015
Managing Control - Governing Body Jan 1, 2015
Trustee of the SNF Jan 1, 2015
Peter Yatrakis Individual Corporate Director Jan 1, 2013
Managing Control - Governing Body Jan 1, 2013
Trustee of the SNF Jan 1, 2013
Greg O'Connell Individual Corporate Director Jul 8, 2022
Managing Control - Governing Body Jul 8, 2022
Trustee of the SNF Jul 8, 2022
David Segelov Individual Corporate OfficerChief Financial Officer Apr 17, 2023
Operational/Managerial Control Apr 17, 2023
Managing Control - Governing Body Apr 14, 2023
Adp of the SNF Apr 17, 2023

Owners & managing parties with NPI records 2

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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 10

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": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1821049164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HENRY STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-855-6789",
            "fax_number": "718-522-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HENRY STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-855-6789",
            "fax_number": "718-522-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBBLE HILL HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "SCHLISSEL",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "718-855-6789",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "7001323N",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NY",
            "license": "7001323N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7001323N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01599724",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310669",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02997491",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.