Woodbury SNF Operations LLC
Organization Active NPI Skilled Nursing Facility · Woodbury, NJ
NPI 1891406013 · NPPES record last updated Jun 24, 2024
Key facts
- NPI
- 1891406013
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- WOODBURY SNF OPERATIONS LLC
- Practice address
- 467 Cooper St
Woodbury, NJ 08096-2519 - Phone
- (856) 345-1200
- NPI assigned
- Dec 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Pinchos Bak
- Title
- Authorized Signer
- Phone
- (856) 345-1200
Owners & managing parties with NPI records 1
-
Joseph J. Conti, D.O.
Facilities with the same owner 18
Affiliated clinicians 7
-
Gerard Joseph Burns II, D.O.
-
Imran A Mirza, M.D.
-
Andrew Paul Pecora, D.O.
-
Shanthi Subbiah, MD
-
Christine M Surrey, D.O.
-
Anthony Wehbe, D.O.
-
Samir Rafiq Shaikh, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Atlas Post Acute at Woodbury Country Club
- Overall star rating
- ★★☆☆☆ 2 of 5
- Health inspections
- ★☆☆☆☆ 1 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★★★★ 5 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- May 5, 2016
- Medicare certification status
- Active
- Certified beds
- 124 · 116.4 residents per day on average
- Chain
- Atlas Healthcare
- Penalties (3 years)
- 2 · fines totaling $561,530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
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 · Proprietary
- Enrollment address
- 467 Cooper St
Woodbury, NJ 08096-2519 - Nursing home name
- ATLAS POST ACUTE AT WOODBURY COUNTRY CLUB
- Affiliated entity
- ATLAS HEALTHCARE
All disclosed owners & managing parties 23
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240717001355 | NJ | Part a Provider - Skilled Nursing Facility | 0840735544 | Practice locations: Woodbury, NJ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
467 Cooper St
Woodbury, NJ 08096-2519
Mailing address
467 Cooper St
Woodbury, NJ 08096-2519
Other names
- Atlas Post Acute at Woodbury Country Club
NPI Registry JSON
{
"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
- Woodbury Family Practice Associates PA
- Woodbury Medical Office PA
- Woodbury Physical Medicine, LLC
- Woodbury Public Schools
- Woodbury Senior Housing LLC
- Woodbury Surgical Associates
- Woods Manor
- Lauresa Woolfolk
- Benjamin Wright
- Matthew John Young
All providers in Woodbury, NJ · Skilled Nursing Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.