Centerlight Healthcare, Inc.

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

CENTERLIGHT HEALTHCARE, INC.

Practice address

13665 37TH Ave
Flushing, NY 11354-4110

Phone

(833) 252-2737

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Tara Buonocore-Rut

Title

Chief Executive Officer

Phone

(833) 252-2737

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PACE Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 9

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

• Aida Oumou Diouf, DO

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1417533019
  Medicare reassignment NPD
• Maureen Elizabeth Edwards, M.D.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1225174188
  Medicare reassignment NPD
• Lindsay Gelling, NP

  • Adult Health Nurse Practitioner
  • Flushing, NY
  • NPI 1124851415
  Medicare reassignment NPD
• Shari Mann, M.D.

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1447397161
  Medicare reassignment NPD
• Francisco Javier Ortega Guillen, MD

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1356960975
  Medicare reassignment NPD
• Germaine Saint-Aude, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bronx, NY
  • NPI 1255471132
  Medicare reassignment NPD
• Radmila Samandarova, NP

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1649033739
  Medicare reassignment NPD
• Win Naing Yo, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1619017092
  Medicare reassignment NPD
• Albert Lee, PA

  • Physician Assistant
  • Central Islip, NY
  • NPI 1184317471
  Medicare reassignment

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1932227790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13665 37TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544110",
            "telephone_number": "347-501-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13665 37TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544110",
            "telephone_number": "833-252-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERLIGHT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "BUONOCORE-RUT",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "833-252-2737"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01234037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jerry Noel Centeno, M.D.
• Center for Learning and Growth Health and Wellness Services, LLC
• Centerhealth Medical PLLC
• Centerlight Healthcare, Inc
• Centerlight Healthcare, Inc.
• Central Ipa Inc
• Central Radiology, PC
• Centum Physical Therapy PC
• Centurion Chiropractic PC
• Centurion Senior Adult Day Care Inc

• PACE Provider Organization in Flushing, NY
• Providers in Flushing, NY by specialty
• PACE Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.