Organization Active NPI

Mosholu Parkway Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1861481566
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7000329N Issued in NY
Legal business name
MOSHOLU PARKWAY NURSING AND REHABILITATION CENTER
Practice address
3356 Perry Ave
Bronx, NY 10467
Phone
(718) 655-3568
Fax
(347) 334-7562
NPI assigned
Oct 17, 2005
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Mr. Benjamin S Feldman
Title
Director of Finance/Cco
Phone
(718) 655-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7000329N NY Primary

Addresses

Primary practice location

3356 Perry Ave
Bronx, NY 10467

Mailing address

3530 Wayne Ave
Bronx, NY 10467
Phone (718) 655-1700

Other identifiers 1

IdentifierTypeStateIssuer
00309297MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111209000634 NY Part A Provider - Skilled Nursing Facility 0244405868 Practice locations: Bronx, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861481566. Details of each certification follow.

Skilled nursing facility certification: CCN 335030

Legal name
MOSHOLU PARKWAY NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Aug 16, 2024
Beds
122
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
3356 Perry Ave
Bronx, NY 10467-3204
Nursing home name
MOSHOLU PARKWAY NURSING & REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Mosholu Parkway Nursing & Rehabilitation CenterCCN 335030 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
122118.5 residents per day on average

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
33D1015433Mosholu Parkway Nursing and Rehabilitation Center3356 Perry Avenue, Bronx, NY 10467Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Benjamin S Feldman Individual Corporate DirectorCfo May 1, 2006
Operational/Managerial Control May 1, 2006
Joseph Brachfeld Individual 5% Or Greater Direct Ownership Interest Mar 14, 2000 33.33%
Managing Control - Governing BodyMember Mar 14, 2000
Adp of the SNF Mar 14, 2000
Israel Hartman Individual 5% Or Greater Direct Ownership Interest Mar 14, 2000 33.34%
Managing Control - Governing BodyMember Mar 14, 2000
Adp of the SNF Nov 16, 1994
Carlton L Williams Individual Operational/Managerial Control Mar 17, 2025
Adp of the SNF Apr 8, 2025
B&G Realty Associates LLC Organization, Bronx, NY LLC Adp of the SNF Mar 4, 1983
Venkata Harini Chintaluri Individual Operational/Managerial Control Oct 1, 2017
Adp of the SNF Apr 8, 2025
Isaac E Goldbrenner Estate Organization, Brooklyn, NY 5% Or Greater Direct Ownership Interest Feb 19, 2024 33.33%
Adp of the SNF Feb 19, 2024
Medco Enterprises, Inc. Organization, Bronx, NY Corporation, For-profit, Chain home office Adp of the SNF Apr 8, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

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 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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1861481566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 WAYNE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-655-1700",
            "fax_number": "718-798-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 PERRY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "718-655-3568",
            "fax_number": "347-334-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSHOLU PARKWAY NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE/CCO",
        "authorized_official_telephone_number": "718-655-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7000329N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00309297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.