Active NPI
Midway Nursing Home, Inc.
- Skilled Nursing Facility
- Maspeth, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MIDWAY NURSING HOME, INC.
- Practice address
- 6995 Queens Midtown Expy
Expressway
Maspeth, NY 11378-1922 - Phone
- (718) 961-1212
- Fax
- (718) 461-9484
- NPI assigned
- Jun 29, 2006
- 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. Moshe Kalter
- Title
- President
- Phone
- (718) 961-1212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6995 Queens Midtown Expy
Expressway
Maspeth, NY 11378-1922
Mailing address
6995 Queens Midtown Expy
Expressway
Maspeth, NY 11378-1922
Phone (718) 961-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00309100 | 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 |
|---|---|---|---|---|
| O20110811000595 | NY | Part A Provider - Skilled Nursing Facility | 9234308099 | Practice locations: Maspeth, NY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1881622785. Details of each certification follow.
Skilled nursing facility certification: CCN 335472
- Legal name
- MIDWAY NURSING HOME, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 1, 1976
- Last certification
- Jul 26, 2023
- Beds
- 200
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 17, 1998 in NY
- Enrollment address
- 6995 Queens Midtown Expy
Maspeth, NY 11378-1922 - Nursing home name
- CENTRAL QUEENS REHAB & NURSING CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Central Queens Rehab & Nursing Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 1, 1976
- Medicare certification status
- Active
- Certified beds
- 200
National Provider Directory
National Provider Directory- Tax ID family
- Midway Nursing Home
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 14
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 |
|---|---|---|---|
| Adp of the SNF | May 2, 1977 | ||
| Peyman Younesi | Operational/Managerial Control | Jul 3, 2019 | |
| Adp of the SNF | Jul 3, 2019 | ||
| Adp of the SNF | Oct 11, 2022 | ||
| Adp of the SNF | Oct 1, 2023 | ||
| Moshe Kalter | 5% Or Greater Direct Ownership Interest | Jan 5, 2009 | 45.5% |
| Corporate Officer | Jan 5, 2009 | 45.5% | |
| Corporate Director | Jan 5, 2009 | 45.5% | |
| Adp of the SNF | Jan 5, 2009 | ||
| Adp of the SNF | Jul 24, 2023 | ||
| Adp of the SNF | Mar 12, 2025 | ||
| Adp of the SNF | Dec 12, 2024 | ||
| Aaron Fogel | 5% Or Greater Direct Ownership Interest | Jan 6, 2009 | 45.5% |
| Adp of the SNF | Jan 5, 2009 | ||
| Adp of the SNF | Nov 15, 2024 | ||
| Levi Farkas | Operational/Managerial Control | Jan 9, 2023 | |
| Adp of the SNF | Jan 9, 2023 | ||
| Jeremy Baruch Strauss | 5% Or Greater Direct Ownership Interest | Jan 1, 2023 | 9% |
| Corporate Officer | Nov 1, 2022 | 9% | |
| Corporate Director | Nov 1, 2022 | 9% | |
| Operational/Managerial Control | Nov 1, 2022 | ||
| Leonid Rayzberg | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Jun 26, 2017 |
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
- Staten Island, NY
- NPI 1891942645
Adp of the SNF, Operational/Managerial 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.
-
- General Practice Physician
- New York, NY
- NPI 1912491226
-
- Critical Care Medicine (Internal Medicine) Physician
- Flushing, NY
- NPI 1154326825
-
- Internal Medicine Physician
- Maspeth, NY
- NPI 1326849001
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205891405
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1891942645
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Flushing, NY
- NPI 1154326825
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881622785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6995 QUEENS MIDTOWN EXPY",
"address_2": "EXPRESSWAY",
"city": "MASPETH",
"state": "NY",
"postal_code": "113781922",
"telephone_number": "718-961-1212",
"fax_number": "718-461-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6995 QUEENS MIDTOWN EXPY",
"address_2": "EXPRESSWAY",
"city": "MASPETH",
"state": "NY",
"postal_code": "113781922",
"telephone_number": "718-961-1212",
"fax_number": "718-461-9484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWAY NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KALTER",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-961-1212",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00309100",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.