Active NPI
Woodbury SNF Operations LLC
Doing business as Atlas Post Acute at Woodbury Country Club
- Skilled Nursing Facility
- Woodbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WOODBURY SNF OPERATIONS LLC
- Doing business as
- Atlas Post Acute at Woodbury Country Club
- Practice address
- 467 Cooper St
Woodbury, NJ 08096-2519 - Phone
- (856) 345-1200
- NPI assigned
- Dec 8, 2022
- Last updated
- Jun 24, 2024
- 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
- Pinchos Bak
- Title
- Authorized Signer
- Phone
- (856) 345-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
467 Cooper St
Woodbury, NJ 08096-2519
Mailing address
467 Cooper St
Woodbury, NJ 08096-2519
Other names 1
- Atlas Post Acute at Woodbury Country Club
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240717001355 | NJ | Part A Provider - Skilled Nursing Facility | 0840735544 | Practice locations: Woodbury, NJ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1891406013. Details of each certification follow.
Skilled nursing facility certification: CCN 315521
- Legal name
- WOODBURY SNF OPERATIONS LLC
- Doing business as
- ATLAS POST ACUTE AT WOODBURY COUNTRY CLUB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 5, 2016
- Last certification
- Apr 24, 2025
- Beds
- 124
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Mar 1, 2024
- Organization structure
- LLC
- Enrollment address
- 467 Cooper St
Woodbury, NJ 08096-2519 - Nursing home name
- ATLAS POST ACUTE AT WOODBURY COUNTRY CLUB
- Affiliated entity
- ATLAS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Atlas Post Acute at Woodbury Country Club
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 5, 2016
- Medicare certification status
- Active
- Certified beds
- 124
- Chain
- Atlas Healthcare
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryLocations
467 Cooper St
Woodbury, NJ 08096
Phone (856) 237-6856
Ownership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| Tyh 2017 Trust | Limited Partnership Interest | Mar 1, 2024 | |
| Cooper Freneau Realty Holdings LLC | Adp of the SNF | Mar 1, 2024 | |
| Shlomo Goldberger | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Chaim Isaac | Trustee of the SNF | Mar 1, 2024 | |
| MW SNF Opco Manager LLC | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| JMH Family Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 30.88% |
| Limited Partnership Interest | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Joseph J Conti | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| MW SNF Operations Holdings LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 100% |
| Pinchos Z Bak | Corporate Officer | Mar 1, 2024 | |
| Operational/Managerial Control | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Trustee of the SNF | Mar 1, 2024 | ||
| Karynell Hasenpat | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| Luciana Carter | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 1, 2024 | ||
| David Herzka | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 7.5% |
| Limited Partnership Interest | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| MLS Family LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 27.5% |
| Limited Partnership Interest | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| SGS Family LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 32.5% |
| Limited Partnership Interest | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| MLS Family Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 26.13% |
| Limited Partnership Interest | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| JMH Family LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 32.5% |
| Limited Partnership Interest | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| SGS Family Trust | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 30.87% |
| Limited Partnership Interest | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| Moshe Sonnenschein | Operational/Managerial Control | Mar 1, 2024 | |
| Trustee of the SNF | Mar 1, 2024 | ||
| Adp of the SNF | Mar 1, 2024 | ||
| SGS 2010 Family Trust | Limited Partnership Interest | Mar 1, 2024 | |
| Trustee of the SNF | Mar 1, 2024 | ||
| Malt Family Trust | Limited Partnership Interest | Mar 1, 2024 | |
| 467 Cooper Street Realty Urban Renewal LLC | Adp of the SNF | May 30, 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
- Laurel Springs, NJ
- NPI 1679552921
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 18
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Matawan, NJ
- NPI 1548971765
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, MW SNF Opco Manager LLC, MW SNF Operations Holdings LLC, SGS Family LLC, SGS Family Trust
-
dba Atlas Rehabilitation and Healthcare at Washington Township
- Skilled Nursing Facility
- Sewell, NJ
- NPI 1750147195
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Atlas Rehabilitation and Healthcare at West Deptford
- Skilled Nursing Facility
- West Deptford, NJ
- NPI 1740046184
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Niantic, CT
- NPI 1477273738
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Oak Knoll Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Framingham, MA
- NPI 1912702457
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Danvers, MA
- NPI 1023852167
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Haverhill Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Haverhill, MA
- NPI 1497550925
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Manchester, CT
- NPI 1437883675
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Sippican Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Marion, MA
- NPI 1346045887
JMH Family LLC, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Nemasket Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Middleboro, MA
- NPI 1659176188
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
dba Port Rehabilitation and Healthcare Center
- Skilled Nursing Facility
- Newburyport, MA
- NPI 1700681244
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
-
- Skilled Nursing Facility
- Mystic, CT
- NPI 1487374740
JMH Family LLC, JMH Family Trust, MLS Family LLC, MLS Family Trust, SGS Family LLC, SGS Family Trust
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Deptford, NJ
- NPI 1376573204
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Cherry Hill, NJ
- NPI 1972583540
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1891406013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "467 COOPER ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 COOPER ST",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080962519",
"telephone_number": "856-345-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODBURY SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-08",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "BAK",
"authorized_official_first_name": "PINCHOS",
"authorized_official_title_or_position": "AUTHORIZED SIGNER",
"authorized_official_telephone_number": "856-345-1200"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlas Post Acute at Woodbury Country Club",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.