NPIMap

Organization Active NPI

Bon Secours Community Hospital

  • Psychiatric Hospital Unit
  • Port Jervis, NY
National Provider Identifier
1891842308
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
BON SECOURS COMMUNITY HOSPITAL
Practice address
160 E Main St
Port Jervis, NY 12771-2114
Phone
(845) 858-7000
Fax
(845) 858-7415
NPI assigned
Jan 5, 2007
Last updated
Mar 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BON SECOURS COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Mr. Mario Difiglia, FHFMA
Title
Vice President
Phone
(914) 493-7909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NY Primary

Addresses

Primary practice location

160 E Main St
Port Jervis, NY 12771-2114

Mailing address

160 E Main St
Port Jervis, NY 12771-2114
Phone (845) 858-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070413000034 NY Part A Provider - Hospital 8527964774 Practice locations: Port Jervis, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891842308. Details of each certification follow.

Hospital certification: CCN 33S135

Legal name
BON SECOURS COMMUNITY HOSPITAL
Doing business as
WMC HEALTH NETWORK - ROCKLAND, INC.
Organization structure
CorporationNon-profit
Incorporated
Jul 26, 1915 in NY
Enrollment address
160 E Main St
Port Jervis, NY 12771-2253
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mercy Comm Hosp-ER3 organizations share this tax ID, including this one
Part of
Mercy Comm Hosp-ER

Other organizations with this tax ID 2

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.

NameRoleSinceShare
Anthony E Costello Individual Corporate DirectorVice Chair Jan 1, 2023
Michael N. Rosenblut Individual Corporate DirectorVice Chair Jan 1, 2023
Andrew Pickens Individual Corporate OfficerExecutive Director Western Region Jun 26, 2025
Corporate DirectorExecutive Director Western Region Jun 26, 2025
W-2 Managing EmployeeExecutive Director Western Region Jun 26, 2025
Bon Secours Charity Health System, Inc. Organization, Suffern, NY Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2000 100%
Marie Yezzo Individual Corporate OfficerSVP, Chief Operating Officer Jan 1, 2024
W-2 Managing EmployeeSVP, Chief Operating Officer Jan 1, 2024
Mario Difiglia Individual Corporate DirectorVice President Jan 1, 2024
Susan Gevertz Individual Corporate DirectorBoard of Directors Jan 1, 2015
David Lubarsky Individual Corporate OfficerPresident & Ceo Feb 17, 2025
Corporate DirectorBoard Member Feb 17, 2025
Patrick Baker Individual Corporate DirectorAssistant Vice President Jan 1, 2023
Sandra Grannum Individual Corporate DirectorBoard of Directors Jan 1, 2015
Joshua Ratner Individual Corporate DirectorVice Chair Jan 1, 2023
Martin Rogowsky Individual Corporate DirectorBoard Member Jan 1, 2023
Tamer El-Rayess Individual Corporate DirectorTreasurer - Board of Directors Jan 1, 2015
Westchester Medical Center Health Network Organization, Valhalla, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 12, 2025 100%

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 5

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1891842308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712114",
            "telephone_number": "845-858-7000",
            "fax_number": "845-858-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712114",
            "telephone_number": "845-858-7000",
            "fax_number": "845-858-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BON SECOURS COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BON SECOURS COMMUNITY HOSPITAL",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "DIFIGLIA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "914-493-7909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FHFMA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jervis, NY

Sources for this page

Verify at the official NPI Registry.