Active NPI
Boro Park Operating Co LLC
Doing business as Boro Park Center for Rehabilitation & Healthcare
- 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
- Doing business as
- Boro Park Center for Rehabilitation & Healthcare
- Practice address
- 4915 10TH Ave
Brooklyn, NY 11219-3301 - Phone
- (718) 851-3700
- NPI assigned
- Oct 5, 2010
- Last updated
- Oct 11, 2023
- 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 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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982913109. Details of each certification follow.
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, and the practitioner matching its NPPES authorized official.
-
- 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": [],
"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)
- Boro Park Pharmacy Corp. (Boro Park Pharmacy)
- 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.