Active NPI
Maywood SNF Operations LLC
- Skilled Nursing Facility
- Maywood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MAYWOOD SNF OPERATIONS LLC
- Practice address
- 100 W Magnolia Ave
Maywood, NJ 07607-1121 - Phone
- (201) 843-8411
- NPI assigned
- Mar 19, 2020
- 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
- Shlomo Goldberger
- Title
- Authorized Rep
- Phone
- (347) 524-0535
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
100 W Magnolia Ave
Maywood, NJ 07607-1121
Mailing address
100 W Magnolia Ave
Maywood, NJ 07607-1121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210112001146 | NJ | Part A Provider - Skilled Nursing Facility | 0840603809 | Practice locations: Maywood, NJ |
Skilled nursing facility certification: CCN 315386
- Legal name
- MAYWOOD SNF OPERATIONS LLC
- Doing business as
- ATLAS REHABILITATION AND HEALTHCARE AT MAYWOOD
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1997
- Last certification
- Apr 19, 2024
- Beds
- 120
- Ownership / control type
- Corporation
- Organization structure
- LLC
- Incorporated
- May 24, 2017 in DE
- Enrollment address
- 100 W Magnolia Ave
Maywood, NJ 07607-1121 - Nursing home name
- ATLAS REHABILITATION AND HEALTHCARE AT MAYWOOD
- Affiliated entity
- ATLAS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Atlas Rehabilitation and Healthcare at Maywood
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Dec 1, 1997
- Medicare certification status
- Active
- Certified beds
- 120
- Chain
- Atlas Healthcare
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Margarita Laquindanum | Operational/Managerial Control | Dec 22, 2020 | |
| Adp of the SNF | Dec 22, 2020 | ||
| Shlomo Goldberger | 5% Or Greater Direct Ownership Interest | Dec 21, 2020 | 28.4% |
| Operational/Managerial Control | Dec 22, 2020 | ||
| Adp of the SNF | Dec 22, 2020 | ||
| Shanaz D Martin | Operational/Managerial Control | Dec 22, 2020 | |
| Adp of the SNF | Dec 22, 2020 | ||
| Stefanos G Pantagis | Operational/Managerial Control | Dec 22, 2020 | |
| Adp of the SNF | Dec 22, 2020 | ||
| Pinchos Z Bak | 5% Or Greater Direct Ownership Interest | Dec 21, 2020 | 28.3% |
| Corporate Officer | Dec 22, 2020 | ||
| Corporate Director | Dec 21, 2020 | ||
| Operational/Managerial Control | Dec 22, 2020 | ||
| Adp of the SNF | Dec 22, 2020 | ||
| David Herzka | 5% Or Greater Direct Ownership Interest | Dec 21, 2020 | 15% |
| Adp of the SNF | Dec 21, 2020 | ||
| Maywood SNF Realty LLC | Adp of the SNF | Jul 15, 2025 | |
| Maywood Manager LLC | Operational/Managerial Control | Dec 22, 2020 | |
| Adp of the SNF | Jul 15, 2025 | ||
| Maywood SNF Realty Holdings LLC | Adp of the SNF | Dec 22, 2020 | |
| Moshe Sonnenschein | 5% Or Greater Direct Ownership Interest | Dec 21, 2020 | 28.3% |
| Operational/Managerial Control | Dec 21, 2020 | ||
| Adp of the SNF | Dec 21, 2020 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1235212879
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1235212879
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1235212879
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1902009459
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584576000000",
"number": "1972139178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W MAGNOLIA AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAGNOLIA AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071121",
"telephone_number": "201-843-8411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYWOOD SNF OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A",
"authorized_official_last_name": "GOLDBERGER",
"authorized_official_first_name": "SHLOMO",
"authorized_official_title_or_position": "AUTHORIZED REP",
"authorized_official_telephone_number": "347-524-0535"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.