Organization Active NPI

Maywood SNF Operations LLC

  • Skilled Nursing Facility
  • Maywood, NJ
National Provider Identifier
1972139178
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Mar 19, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 MaywoodCCN 315386
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Dec 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120113.8 residents per day on average
Chain
Atlas Healthcare29 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Margarita Laquindanum Individual Operational/Managerial Control Dec 22, 2020
Adp of the SNF Dec 22, 2020
Shlomo Goldberger Individual 5% Or Greater Direct Ownership InterestOwner Dec 21, 2020 28.4%
Operational/Managerial Control Dec 22, 2020
Adp of the SNF Dec 22, 2020
Shanaz D Martin Individual Operational/Managerial Control Dec 22, 2020
Adp of the SNF Dec 22, 2020
Stefanos G Pantagis Individual Operational/Managerial Control Dec 22, 2020
Adp of the SNF Dec 22, 2020
Pinchos Z Bak Individual 5% Or Greater Direct Ownership InterestOwner 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 Individual 5% Or Greater Direct Ownership InterestOwner Dec 21, 2020 15%
Adp of the SNF Dec 21, 2020
Maywood SNF Realty LLC Organization, Lakewood, NJ LLC, For-profit Adp of the SNF Jul 15, 2025
Maywood Manager LLC Organization, Lakewood, NJ LLC, Management services company, For-profit Operational/Managerial Control Dec 22, 2020
Adp of the SNF Jul 15, 2025
Maywood SNF Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company, For-profit Adp of the SNF Dec 22, 2020
Moshe Sonnenschein Individual 5% Or Greater Direct Ownership InterestOwner 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.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.