LONG ISLAND SELECT HEALTHCARE, INC. (NPI# 1043663107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043663107 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND SELECT HEALTHCARE, INC. |
| Other Organization Name | LISH, INC. |
| Practice Address |
159 Carleton Ave Central Islip NY 11722-4172 |
| Practice Telephone | 6316502510 |
| Practice Fax Number | 6316500497 |
| Mailing Telephone | 6316502510 |
| Mailing Fax Number | 6316500497 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | JAMES POWELL (CEO) |
| Authorized Official Telephone | 6316502085 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LISH, Inc. | Doing Business As Name - Organization |
| Long Island Select Healthcare Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417300575 | Long Island Select Healthcare, Inc. | Clinic/Center | 33 Terryville Rd, Port Jefferson Station, NY 11776-1331 | 2016-07-13 |
| 1518310689 | Long Island Select Healthcare, Inc. | Clinic/Center | 221 N Sunrise Svc Rd, Manorville, NY 11949-9604 | 2016-07-13 |
| 1699220582 | Long Island Select Healthcare, Inc. | Clinic/Center | 221 N Sunrise Svc Rd, Manorville, NY 11949-9604 | 2016-08-20 |
| 1235684127 | Long Island Select Healthcare, Inc. | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2016-08-20 |
| 1265987150 | Long Island Select Healthcare, Inc. | Clinic/Center | 883 E Main St, Riverhead, NY 11901-2613 | 2016-08-20 |
| 1891240784 | Long Island Select Healthcare, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2016-08-20 |
| 1700331691 | Long Island Select Healthcare, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2016-08-20 |
| 1467805515 | Long Island Select Healthcare, Inc. | Clinic/Center | 250 Marcus Blvd, Hauppauge, NY 11788-2018 | 2016-07-13 |
| 1447603501 | Long Island Select Healthcare, Inc. | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2016-07-13 |
| 1356794408 | Long Island Select Healthcare, Inc. | Clinic/Center | 5 Union Ave, Center Moriches, NY 11934-3336 | 2016-07-13 |
| Street Address |
159 CARLETON AVE |
| City | CENTRAL ISLIP |
| State | NY |
| Zip Code | 11722-4172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609964790 | Ucpa of Suffolk Inc | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2006-10-11 |
| 1376165829 | Amber Distafano | Registered Nurse | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2020-05-07 |
| 1437704962 | Andrea Monitto | Dental Hygienist | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2019-08-01 |
| 1518486877 | Jaclyn A Farino | Nurse Practitioner | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2017-09-18 |
| 1891240784 | Long Island Select Healthcare, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2016-08-20 |
| 1235416397 | Christina Alicia Bianchini | Physical Therapist | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2011-11-03 |
| 1508170242 | Michele Lukasiewic | Social Worker | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2010-08-05 |
| 1912219841 | Susan M Trees | Registered Nurse | 159 Carleton Ave, Central Islip, NY 11722 | 2010-07-08 |
| 1679800213 | Jo Ann V. Lewis | Social Worker | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2009-11-03 |
| 1386886810 | United Cerebral Palsy Association of Greater Suffolk, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2009-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518526185 | Pamela Bettes | Specialist/Technologist | 1650 Islip Avenue, Central Islip, NY 11722 | 2019-06-07 |
| 1306386537 | Rosetta Emille | Counselor | 421 Smith Street, Central Islip, NY 11722 | 2017-03-07 |
| 1194190850 | Muili Adebayo Awotorebo | Licensed Practical Nurse | 25 Cedar Street, Central Islip, NY 11722 | 2015-12-07 |
| 1841625613 | Valerie Chamberlain | Social Worker | 1832 Finch Ln, Central Islip, NY 11722 | 2013-09-11 |
| 1427307529 | Nicole Loibl | Pharmacist | 160 North Research Place, Central Islip, NY 11722 | 2012-09-05 |
| 1396053203 | Stephanie L Urban | Counselor | 115 Glenmore Avenue, Central Islip, NY 11722 | 2010-09-14 |
| 1487982914 | Christine Rosemarie Campbell | Counselor | 1499 Islip Ave, Central Islip, NY 11722 | 2009-11-20 |
| 1144454315 | Farah Kennedy | Licensed Practical Nurse | 67 Woodland Ave, Central Islip, NY 11722 | 2009-05-04 |
| 1366618563 | Lucretia Cory Banks | Licensed Practical Nurse | 14 Walnut Street, Central Islip, NY 11722 | 2008-05-07 |
| 1134391097 | Donna Maria Ortiz Orulepe | Licensed Vocational Nurse | 70 Pinewood Ave, Central Islip, NY 11722 | 2008-03-31 |
| Find all providers in zip 11722 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | CENTRAL ISLIP |
| Zip Code | 11722 |
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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.