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NEW BROADVIEW MANOR HFA, LLC
NPI 1104041029
Assisted Living Facility in Staten Island, NY

Active since April 16, 2007CLIA 33D2196633 · Waiver
70 FATHER CAPODANNO BLVD, STATEN ISLAND, NY 10305(718) 273-8900(718) 720-2415 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Broadview Manor Hfa, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW BROADVIEW MANOR HFA, LLC (NPI 1104041029) is a healthcare organization registered as an assisted living facility in Staten Island, New York and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ludovic Marcovici, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104041029
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNEW BROADVIEW MANOR HFA, LLC
Location Address70 FATHER CAPODANNO BLVDStaten Island, NY 10305-4803
Mailing Address70 Father Capodanno BlvdStaten Island, NY 10305-4803 · (718) 273-8900 · Fax (718) 720-2415
Phone(718) 273-8900
Fax(718) 720-2415
Organization SubpartNo
Authorized OfficialLudovic MarcoviciAdministrator · (718) 273-8900
Enumeration DateApril 16, 2007
Last NPPES UpdateMay 7, 2012
✔ NPI 1104041029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NY · 610 F 062
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
70 FATHER CAPODANNO BLVD, Staten Island, NY 10305
Open in Google Maps ↗

Other Identifiers 1

Medicaid02375253NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2196633

New Broadview Manor Home For Adults · Staten Island, NY
Active · expires Mar 26, 2027
CLIA Number33D2196633
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 19, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Peyman E. Younesi
Laboratory Phone(718) 273-8900
Laboratory LocationNew Broadview Manor Home For Adults70 Father Capodanno Blvd, Staten Island, NY 10305
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE W GROUP AT NEW BROADVIEW, LLC
Custodial Care Facility (Adult Care Home)
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 840-3355
MS. STACY BRUNO CWS
Social Worker (Clinical)
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 273-8900
SUSMEET SUNIL TAILOR
Internal Medicine
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 273-8900
MS. LINDA FILIPOWICZ CSW
Social Worker (Clinical)
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 273-8900
CHUKWUKELUE NWABUEZE UCHEFUNA MD
Internal Medicine
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 273-8900
AYA SABER
Internal Medicine
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 273-8900
SWAPNEEL TAILOR
Internal Medicine
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 273-8900
ARKADY GANELIN MD
Psychiatry & Neurology (Psychiatry)
70 FATHER CAPODANNO BLVD
STATEN ISLAND, NY 10305
Richmond County (718) 273-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Broadview Manor Hfa, LLC's NPI number?

The NPI number for New Broadview Manor Hfa, LLC is 1104041029. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is New Broadview Manor Hfa, LLC located?

New Broadview Manor Hfa, LLC is located at 70 Father Capodanno Blvd, Staten Island, NY 10305. The listed phone number is (718) 273-8900.

What is New Broadview Manor Hfa, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does New Broadview Manor Hfa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2196633) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Broadview Manor Hfa, LLC was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.