LONG ISLAND COLLEGE HOSP (NPI# 1114981248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114981248 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND COLLEGE HOSP |
| Other Organization Name | LONG ISLAND COLLEGE PATHOLOGY |
| Practice Address |
339 Hicks Street Brooklyn NY 11201-5514 |
| Mailing Address |
1900 Hempstead Turnpike Suite 500 East Meadow NY 11554 |
| Practice Telephone | 7187801727 |
| Practice Fax Number | 7187802740 |
| Mailing Telephone | 5165421090 |
| Mailing Fax Number | 5167948165 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | MR. ELPIDIO JIMENEZ (CHAIRMAN DEPT OF PATHOLOGY) |
| Authorized Official Telephone | 7187801005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Long Island College Pathology | Doing Business As Name - Organization |
| Street Address |
339 HICKS STREET |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861452245 | Adnan Khdair | Internal Medicine | 339 Hicks Street, 6th Floor, Brooklyn, NY 11201 | 2006-03-28 |
| 1437411568 | Christine Lindstrom | Student in an Organized Health Care Education/Training Program | 339 Hicks Street, University Hospital of Brooklyn, Brooklyn, NY 11201 | 2012-06-14 |
| 1386803369 | Long Island College Hospital | General Acute Care Hospital | 339 Hicks Street, Brooklyn, NY 11201 | 2008-06-05 |
| 1982752077 | Gina Subtirelu | Anesthesiology | 339 Hicks Street, Long Island College Hospital, Brooklyn, NY 11201 | 2007-01-08 |
| 1417019217 | Long Island College Hospital | Psychiatric Unit | 339 Hicks Street, Brooklyn, NY 11201 | 2006-12-15 |
| 1861575094 | Robert L Levey | Internal Medicine | 339 Hicks Street, Brooklyn, NY 11201 | 2006-10-23 |
| 1306878103 | Peter Michael Nardi | Radiology | 339 Hicks Street, Brooklyn, NY 11201 | 2006-07-06 |
| 1164453791 | Annette M. Brown | Radiology | 339 Hicks Street, Brooklyn, NY 11201 | 2006-07-05 |
| 1639100084 | Deborah Lynn Reede | Radiology | 339 Hicks Street, Brooklyn, NY 11201 | 2006-07-05 |
| 1932130564 | Richard Thomas Bergeron | Radiology | 339 Hicks Street, Brooklyn, NY 11201 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003080946 | Elena Agranovsky | Pathology | 1857 86th St, Brooklyn, NY 11214-3108 | 2008-04-22 |
| 1326248782 | Tbhc Medical Services PC | Pathology | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2007-07-23 |
| 1295863439 | The Brooklyn Hospital Center | Pathology | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2007-03-01 |
| 1487716809 | Muhammad Samir A Sulh | Pathology | 150 55th St, Lmc Department of Pathology, Brooklyn, NY 11220-2559 | 2006-12-14 |
| 1457431751 | Aliza Honarvar | Pathology | 140 58th St, Suite 1e, Brooklyn, NY 11220-2521 | 2006-10-17 |
| 1902911142 | Robert Kalter | Pathology | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2006-08-20 |
| 1740395995 | Jeffrey Lipton | Pathology | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2006-08-20 |
| 1427061225 | Corneliu Platica | Pathology | 150 55th St, Brooklyn, NY 11220-2559 | 2006-08-14 |
| 1396770863 | Maximo E Mora | Pathology | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2006-07-12 |
| 1700861226 | Anthony D. Nicastri | Pathology | 450 Clarkson Ave, 4th Floor, Brooklyn, NY 11203-2056 | 2005-12-07 |
| 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.