NPIMap

Organization Active NPI

Dewitt Rehabilitation and Nursing Center, Inc.

  • Skilled Nursing Facility
  • New York, NY
National Provider Identifier
1922004282
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
7002374N Issued in NY
Legal business name
DEWITT REHABILITATION AND NURSING CENTER, INC.
Practice address
211 East 79TH Street
New York, NY 10075-0819
Phone
(212) 879-1600
Fax
(212) 879-4594
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Anthony Derosa
Title
VP of Finance
Phone
(212) 879-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 7002374N NY Primary

Addresses

Primary practice location

211 East 79TH Street
New York, NY 10075-0819

Mailing address

211 E 79TH Street
New York, NY 10075-0891
Phone (212) 879-1600

Other identifiers 1

IdentifierTypeStateIssuer
00310421MedicaidNY

Other names 1

  • Upper East Side Rehabilitation and Nursing Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020916000010 NY Part A Provider - Skilled Nursing Facility 2264349000 Practice locations: New York, NY

Skilled nursing facility certification: CCN 335232

Legal name
DEWITT REHABILITATION AND NURSING CENTER INC
Doing business as
UPPER EAST SIDE REHABILITATION AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1967
Last certification
Jan 23, 2024
Beds
499
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Aug 9, 2002 in NY
Enrollment address
211 E 79TH St
New York, NY 10075-0819
Nursing home name
UPPER EAST SIDE REHABILITATION AND NURSING CENTER
Affiliated entity
CASSENA CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Upper East Side Rehabilitation and Nursing CenterCCN 335232
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
499459.8 residents per day on average
Chain
Cassena Care13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2147778Dewitt Rehabilitation and Nursing Center211 E 79TH Street, New York, NY 10075Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dewitt Rehabilitation and Nursing Center Inc3 organizations share this tax ID, including this one

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 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pasquale Debenedictis Individual 5% Or Greater Direct Ownership Interest Mar 9, 2016 34.5%
Corporate OfficerPresident Mar 9, 2016 34.5%
Joseph Carillo Individual 5% Or Greater Direct Ownership Interest Mar 9, 2016 10.5%
Anthony Derosa Individual Operational/Managerial ControlVP of Finance Mar 9, 2016
Celma Dumaguing Individual W-2 Managing EmployeeChief Financial Officer Dec 1, 2014
Scott Mair Individual W-2 Managing EmployeeAdministrator Jan 9, 2012
Alex Solovey Individual 5% Or Greater Direct Ownership Interest Mar 9, 2016 34.5%
Corporate OfficerBoard Member Mar 9, 2016 34.5%
Leopold Friedman Individual 5% Or Greater Direct Ownership Interest Mar 9, 2016 10.5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 7

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": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1922004282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 79TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750891",
            "telephone_number": "212-879-1600",
            "fax_number": "212-879-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EAST 79TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750819",
            "telephone_number": "212-879-1600",
            "fax_number": "212-879-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEWITT REHABILITATION AND NURSING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "212-879-1600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "7002374N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00310421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper East Side Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upper East Side Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.