Active NPI
Boro Park Operating Co LLC
- Skilled Nursing Facility
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 7001394N
- Legal business name
- BORO PARK OPERATING CO LLC
- Practice address
- 4915 10TH Ave
Brooklyn, NY 11219-3301 - Phone
- (718) 851-3700
- NPI assigned
- Oct 5, 2010
- 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
- Mr. Kenneth Rozenberg
- Title
- Member
- Phone
- (718) 931-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 7001394N | NY | Primary |
Addresses
Primary practice location
4915 10TH Ave
Brooklyn, NY 11219-3301
Mailing address
4770 White Plains Rd 3 FL
Bronx, NY 10470-1104
Phone (718) 931-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00309031 | Medicaid | NY |
Other names 1
- Boro Park Center for Rehabilitation & Healthcare
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | Waystar Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101221000957 | NY | Part A Provider - Skilled Nursing Facility | 3577751320 | Practice locations: Brooklyn, NY |
Skilled nursing facility certification: CCN 335470
- Legal name
- BORO PARK OPERATING CO LLC
- Doing business as
- BORO PARK CENTER FOR REHABILITATION AND HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 1, 1976
- Last certification
- May 6, 2024
- Beds
- 510
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- May 1, 2011
- Organization structure
- LLC
- Incorporated
- Jul 3, 2009 in NY
- Enrollment address
- 4915 10TH Ave
Brooklyn, NY 11219-3301 - Nursing home name
- BORO PARK CENTER FOR REHABILITATION AND HEALTHCARE
- Affiliated entity
- CENTERS HEALTH CARE
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Geriatric Medicine (Internal Medicine) Physician
- Brooklyn, NY
- NPI 1427356930
3577751320
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Boro Park Center for Rehabilitation and Healthcare
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 1, 1976
- Medicare certification status
- Active
- Certified beds
- 510
- Chain
- Centers Health Care
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2147761 | Boro Park Center for Rehabilitation and | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Boro Park Operating Co LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Brooklyn, NY
- NPI 1689602252
Ownership & related parties
All disclosed owners & managing parties 15
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 |
|---|---|---|---|
| Adp of the SNF | May 1, 2011 | ||
| Heidi Hendrix | Managing Control - Governing Body | Jan 1, 2025 | |
| Boro Park KR Holding LLC | 5% Or Greater Direct Ownership Interest | May 1, 2011 | 98% |
| Nachman Feig | Operational/Managerial Control | Jun 24, 2024 | |
| Adp of the SNF | Jun 24, 2024 | ||
| Aharon Lantzitsky | Managing Control - Governing Body | Jan 1, 2025 | |
| Jason S Zimmerman | Operational/Managerial Control | Aug 2, 2017 | |
| Adp of the SNF | Aug 2, 2017 | ||
| Nathan Goldman | Managing Control - Governing Body | Jan 1, 2025 | |
| Amir Abramchik | Adp of the SNF | May 1, 2011 | |
| Adp of the SNF | May 1, 2011 | ||
| Kenneth Rozenberg | 5% Or Greater Indirect Ownership Interest | May 1, 2011 | |
| Corporate Officer | May 1, 2011 | ||
| Adp of the SNF | May 1, 2011 | ||
| Adp of the SNF | Mar 15, 2017 | ||
| Adp of the SNF | Mar 19, 2025 | ||
| Adp of the SNF | Mar 21, 2025 | ||
| Direct Ownership Interest | Apr 10, 2023 | 2% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1073871067
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Far Rockaway, NY
- NPI 1558780270
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1366186827
-
- Nurse Practitioner
- Brooklyn, NY
- NPI 1700923695
-
- Internal Medicine Physician
- Woodmere, NY
- NPI 1841459567
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1407109044
-
- Family Nurse Practitioner
- Brooklyn, NY
- NPI 1285061234
-
- Acute Care Nurse Practitioner
- New York, NY
- NPI 1053928747
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1174812044
-
- Adult Health Nurse Practitioner
- Brooklyn, NY
- NPI 1104237957
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1073871067
Affiliated clinicians 9
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": "1286236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1982913109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 WHITE PLAINS RD 3 FL",
"city": "BRONX",
"state": "NY",
"postal_code": "104701104",
"telephone_number": "718-931-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193301",
"telephone_number": "718-851-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORO PARK OPERATING CO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-05",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A",
"authorized_official_last_name": "ROZENBERG",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-931-9700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "7001394N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00309031",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "Waystar Health",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Boro Park Center for Rehabilitation & Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Boro Park Center for Rehabilitation & Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
- Boro Park Gastroenterology Associates PC
- Boro Park Medical P.C.
- Boro Park Nutrition, LLC
- Boro Park Obstetrics & Gynecology P.C.
- Boro Park Operating Co LLC
- Boro Park Pediatric Associates, PLLC
- Boro Park Pharmacy Corp.
- Boro Park Pharmacy Corp.
- Boro Park Physical Fitness LLC
- Boro Park Physical Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.