PROSPECT PARK OPERATING, LLC (NPI# 1841365509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841365509 |
| Entity Type | Organization |
| Organization Name | PROSPECT PARK OPERATING, LLC |
| Other Organization Name | BROOKLYN CENTER FOR REHABILITATION AND RESIDENTIAL HEALTH CARE |
| Practice Address |
170 Buffalo Ave Brooklyn NY 11213-2421 |
| Mailing Address |
4770 White Plains Rd Bronx NY 10470-1104 |
| Practice Telephone | 7182529800 |
| Mailing Telephone | 7189319700 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | MR. KENNETH ROZENBERG (MANAGING MEMBER) |
| Authorized Official Telephone | 9174684174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 7001388N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00312547 | 05 |
| Other Name | Type Code |
|---|---|
| Brooklyn Center for Rehabilitation and Residential Health Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1455 Coney Island Ave, Brooklyn, NY 112304713 | 7182529800 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PROSPECT PARK OPERATING, LLC | 4770 White Plains Road, Bronx, Ny 10470 |
| Street Address |
170 BUFFALO AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223512 | Ashvin Butala | Internal Medicine | 170 Buffalo Ave, Brooklyn, NY 11213-2421 | 2005-05-31 |
| 1417554940 | Thomas Leon Mitchell Skurtu | Nurse Practitioner | 170 Buffalo Ave, Brooklyn, NY 11213-2421 | 2020-10-07 |
| 1801434717 | Bronx Center for Renal Dialysis LLC | Clinic/Center | 170 Buffalo Ave, Brooklyn, NY 11213-2421 | 2019-12-11 |
| 1548319254 | Catholic Medical Center of Brooklyn and Queens | General Acute Care Hospital | 170 Buffalo Ave, Brooklyn, NY 11213-2421 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049807 | Itkin Occupational Therapy PC | Skilled Nursing Facility | 134 Mackenzie Street, Brooklyn, NY 11235 | 2018-07-09 |
| 1699280826 | 239 Legris Avenue Operations LLC | Skilled Nursing Facility | 3118 Quentin Rd, Brooklyn, NY 11234-4235 | 2017-12-11 |
| 1194142661 | Hunter Services Center Inc. | Skilled Nursing Facility | 202 E 91st St, A19, Brooklyn, NY 11212-1355 | 2014-03-24 |
| 1477986172 | Hamilton Park Opco LLC | Skilled Nursing Facility | 14c 53rd St, Brooklyn, NY 11232-2644 | 2013-08-16 |
| 1578899076 | Hamilton Park Multicare LLC | Skilled Nursing Facility | 691 92nd St Fl 2, Brooklyn, NY 11228 | 2009-10-19 |
| 1497994800 | Ditmas Park Rehabilitation & Care Center LLC | Skilled Nursing Facility | 2107 Ditmas Ave, Brooklyn, NY 11226-6903 | 2009-02-09 |
| 1992950976 | Menorah Home and Hospital for Aged and Infirm | Skilled Nursing Facility | 871 Bushwick Ave, Brooklyn, NY 11221-3739 | 2008-11-18 |
| 1043492416 | Embassy Snf LLC | Skilled Nursing Facility | 921 E 31st St, Suite 101, Brooklyn, NY 11210-3831 | 2007-11-28 |
| 1376743112 | American Biomed Homecare | Skilled Nursing Facility | 11 Wyona St, Brooklyn, NY 11207-2515 | 2007-07-19 |
| 1881719078 | Etienne Home Care Services,inc | Skilled Nursing Facility | 2920a Cortelyou Rd, Brooklyn, NY 11226 | 2007-03-20 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.