LONG ISLAND JEWISH MEDICAL CENTER (NPI# 1093723488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093723488 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND JEWISH MEDICAL CENTER |
| Other Organization Name | END STAGE RENAL DIALYSIS FACILITY |
| Practice Address |
22022 Hillside Avenue Queens Village NY 11427-2020 |
| Mailing Address |
972 Brush Hollow Rd 5th Flooor Finance Westbury NY 11590-1740 |
| Practice Telephone | 5168766000 |
| Practice Fax Number | 5168766600 |
| Mailing Telephone | 5168766000 |
| Mailing Fax Number | 5168766600 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 5163216058 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONG ISLAND JEWISH MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
7003004H | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| End Stage Renal Dialysis Facility | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842393 | Long Island Jewish Medical Center | General Acute Care Hospital | 7559 263rd Street @ 74th Avenue, Glen Oaks, NY 11004-1050 | 2015-01-30 |
| 1841320967 | Long Island Jewish Medical Center | Psychiatric Unit | 7559 263 Street, Lowenstein Pavilion 140, Glen Oaks, NY 11004 | 2007-03-07 |
| 1073585691 | Long Island Jewish Medical Center | Home Health | 1983 Marcus Ave, New Hyde Park, NY 11042 | 2006-02-07 |
| 1871024455 | Long Island Jewish Medical Center | Pharmacy | 7559 263rd St, Vivo Health Pharmacy At Zucker Hillside Hospital, Glen Oaks, NY 11004-1150 | 2017-03-24 |
| 1922543602 | Long Island Jewish Medical Center | Nurse Practitioner | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2017-01-04 |
| 1750737565 | Long Island Jewish Medical Center | Psychiatric Unit | 900 Franklin Ave, Valley Stream, NY 11580 | 2016-05-11 |
| 1346603107 | Long Island Jewish Medical Center | General Acute Care Hospital | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2016-03-30 |
| 1649678632 | Long Island Jewish Medical Center | Rehabilitation Hospital | 430 Lakeville Rd, New Hyde Park, NY 11042-1121 | 2014-12-08 |
| 1174926406 | Long Island Jewish Medical Center | Pharmacy | 270-05 76th Ave, Attn: Vivo Health Pharmacy At Lij, New Hyde Park, NY 11040-1402 | 2014-10-01 |
| 1295098002 | Long Island Jewish Medical Center | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2012-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76th Avenue, New Hyde Park, NY 11040-1402 |
| New York State Corporations | LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76th Avenue, New Hyde Park, Ny 11040 |
| New York State Corporations | LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY, INC. | 2000 Marcus Avenue, New Hyde Park, Ny 11042 |
| New York State Corporations | LONG ISLAND JEWISH MEDICAL CENTER STAFF SOCIETY, INC. | 600 Old Country Road, Suite 320, Garden City, Ny 11530 |
| Street Address |
22022 HILLSIDE AVENUE |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770528432 | Knickerbocker Dialysis Inc | Clinic/Center | 22202 Hempstead Ave, Ste 170, Queens Village, NY 11429-2123 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323071 | True North Dialysis Center LLC | Clinic/Center | 668 Middle Country Rd, Selden, NY 11784-2521 | 2020-10-13 |
| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
Please comment or provide details below to improve the information on LONG ISLAND JEWISH MEDICAL CENTER.
| 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.