Active NPI
Mosholu Parkway Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7000329N
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00309297 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 122
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1015433 | Mosholu Parkway Nursing and Rehabilitation Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin S Feldman | Corporate Director | May 1, 2006 | |
| Operational/Managerial Control | May 1, 2006 | ||
| Joseph Brachfeld | 5% Or Greater Direct Ownership Interest | Mar 14, 2000 | 33.33% |
| Managing Control - Governing Body | Mar 14, 2000 | ||
| Adp of the SNF | Mar 14, 2000 | ||
| Israel Hartman | 5% Or Greater Direct Ownership Interest | Mar 14, 2000 | 33.34% |
| Managing Control - Governing Body | Mar 14, 2000 | ||
| Adp of the SNF | Nov 16, 1994 | ||
| Carlton L Williams | Operational/Managerial Control | Mar 17, 2025 | |
| Adp of the SNF | Apr 8, 2025 | ||
| B&G Realty Associates LLC | Adp of the SNF | Mar 4, 1983 | |
| Venkata Harini Chintaluri | Operational/Managerial Control | Oct 1, 2017 | |
| Adp of the SNF | Apr 8, 2025 | ||
| Isaac E Goldbrenner Estate | 5% Or Greater Direct Ownership Interest | Feb 19, 2024 | 33.33% |
| Adp of the SNF | Feb 19, 2024 | ||
| Medco Enterprises, Inc. | 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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1215282512
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1326022112
Isaac E Goldbrenner Estate
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1801860291
Isaac E Goldbrenner Estate
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1083696132
Isaac E Goldbrenner Estate
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.
-
- Legal Medicine
- New Hyde Park, NY
- NPI 1043298052
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1487716791
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1215282512
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1518900471
-
- Family Medicine Physician
- Middletown, NY
- NPI 1306402268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.