Active NPI
St. Marys Center Inc
- Skilled Nursing Facility
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ST. MARYS CENTER INC
- Practice address
- 512-516 West 126TH Street
New York, NY 10027 - Phone
- (212) 665-5992
- Fax
- (212) 665-1855
- NPI assigned
- Sep 21, 2005
- 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
- Usha Taitt
- Title
- Manager
- Phone
- (212) 665-5992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
512-516 West 126TH Street
New York, NY 10027
Mailing address
512-16 West 126TH Street
New York, NY 10027
Phone (212) 665-5992
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01749568 | Medicaid | NY | |
| 01360636 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071217000444 | NY | Part A Provider - Skilled Nursing Facility | 3274623046 | Practice locations: New York, NY |
Skilled nursing facility certification: CCN 335762
- Legal name
- ST. MARYS CENTER INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Aug 31, 1992
- Last certification
- Feb 12, 2025
- Beds
- 40 (39 certified)
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Nov 21, 1990 in NY
- Enrollment address
- 516 W 126TH St
New York, NY 10027-2406 - Nursing home name
- ST MARY'S CENTER INC
Care Compare: Nursing home
Medicare Care Compare- Listed as
- St Mary's Center Inc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Aug 31, 1992
- Medicare certification status
- Active
- Certified beds
- 39
National Provider Directory
National Provider Directory- Tax ID family
- St Marys Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- New York, NY
- NPI 1659639771
-
- Adult Day Care Clinic/Center
- New York, NY
- NPI 1932349511
Locations
516 W 126th St
New York, NY 10027
Phone (212) 662-1826
Ownership & related parties
All disclosed owners & managing parties 13
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 |
|---|---|---|---|
| Lawrence Ford | Corporate Director | Jan 1, 2019 | 11% |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| Xiomara Lantigua | Corporate Officer | May 17, 2004 | 100% |
| Operational/Managerial Control | May 17, 2004 | ||
| Adp of the SNF | May 17, 2004 | ||
| John N Okwodu | Operational/Managerial Control | Sep 3, 2024 | |
| Adp of the SNF | Sep 3, 2024 | ||
| Leslie Ross | Corporate Officer | Aug 9, 2021 | 100% |
| Corporate Director | Jan 1, 2000 | 11% | |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| Esther Ugonma Chijioke | Operational/Managerial Control | Mar 2, 2020 | |
| Trustee of the SNF | Mar 2, 2020 | ||
| Adp of the SNF | Mar 2, 2020 | ||
| Tom Andrew Javits | Corporate Director | Jan 1, 2002 | 11% |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| Diane B Pollard | Corporate Director | Jan 1, 2022 | 11% |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| Ayanna Thomas | Corporate Director | Jan 1, 2017 | 11% |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| St. Marys Center Inc | 5% Or Greater Direct Ownership Interest | Aug 2, 1992 | 100% |
| Operational/Managerial Control | Aug 31, 1992 | ||
| Adp of the SNF | Mar 10, 2025 | ||
| Frederick S Harris | Corporate Director | Jan 1, 2018 | 11% |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| Peter Samuels | Corporate Director | Apr 26, 2018 | 11% |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| William S Friedman | Corporate Officer | Apr 26, 2018 | 100% |
| Corporate Director | Aug 9, 2021 | 11% | |
| Managing Control - Governing Body | Aug 9, 2021 | ||
| Argus Community, Inc | Operational/Managerial Control | Aug 9, 2021 |
Owners & managing parties with NPI records 4
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bronx, NY
- NPI 1699408773
Operational/Managerial Control
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New York, NY
- NPI 1811254139
Operational/Managerial Control
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bronx, NY
- NPI 1932241429
Operational/Managerial Control
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1871927798
Adp of the SNF, Operational/Managerial Control, Trustee of the SNF
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1871927798
-
- Primary Care Nurse Practitioner
- New York, NY
- NPI 1083057897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1972599322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512-16 WEST 126TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "212-665-5992",
"fax_number": "212-665-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512-516 WEST 126TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10027",
"telephone_number": "212-665-5992",
"fax_number": "212-665-1855"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARYS CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "TAITT",
"authorized_official_first_name": "USHA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "212-665-5992"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01749568",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01360636",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- St. Mark'S Place Institute for Mental Health, Inc
- St. Marks Physical Therapy, P.C
- St. Marks Place
- St. Mary'S Center, Inc
- St. Mary'S Center, Inc
- St. Nicholas Medical of New York, LLC
- St. Nicholas Pediatrics, PC
- St. Nicholas Professional Medical Services of New York LLC
- Sarah Jean St. Onge, PH.D.
- Ryan Edward St. Pierre-Hetz, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.