PHOENIX HOUSES OF LONG ISLAND, INC. (NPI# 1174691281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174691281 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSES OF LONG ISLAND, INC. |
| Other Organization Name | APPLE INC |
| Practice Address |
998 Crooked Hill Rd Building #5 Brentwood NY 11717-1043 |
| Mailing Address |
50 Jay St Fl 3 Client Billing Brooklyn NY 11201-1144 |
| Practice Telephone | 6313065749 |
| Mailing Telephone | 7182226600 |
| Mailing Fax Number | 7185762866 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN KIRCHOFF (SR. VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 2125955810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
5154204R | NY | Ambulatory Health Care Facilities |
| X | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| X | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01035285 | 05 | |
| NY | 01519066 | 05 |
| Other Name | Type Code |
|---|---|
| Apple Inc | Other Name - Individual/Organization |
| Street Address |
998 CROOKED HILL RD BUILDING #5 |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153603 | Guerline Markowitz | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-27 |
| 1528688074 | Daniel Brian Bell | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-04-24 |
| 1083248280 | Schneidine Rely-supreme | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-02-26 |
| 1285264762 | Barbara M Bazemore | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2020-01-23 |
| 1730727165 | Gerard Fitzgerald Grant | Licensed Practical Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-12-17 |
| 1982240768 | Monica J Cuya | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1942846746 | Alyssa Hope Smith | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1720624505 | Lancia Dezalon | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1164068946 | Kevin Fischer | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-11-27 |
| 1538700778 | Michael Vincent Massina | Registered Nurse | 998 Crooked Hill Rd, Brentwood, NY 11717-1019 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316436611 | Lourdes Physician Services LLC | Clinic/Center | 103 Continental Pl Ste 200, Brentwood, TN 37027-1042 | 2018-05-02 |
| 1124546429 | Drayer Physical Therapy of Tennessee LLC | Clinic/Center | 1642 Westgate Cir Ste 203, Brentwood, TN 37027-8195 | 2017-09-07 |
| 1508292376 | Independent Physical Therapy | Clinic/Center | 1595 Mallory Ln Ste 210, Brentwood, TN 37027-2895 | 2013-09-24 |
| 1982074266 | Healthworks Medical Group of Illinois Sc | Clinic/Center | 5500 Maryland Way, Brentwood, TN 37027-4948 | 2015-09-30 |
| 1326363706 | Mobile Testing of Tennessee, Inc. | Clinic/Center | 5115 Maryland Way, Brentwood, TN 37027-7512 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245702 | Dial Doc Now Medical Group PC | Clinic/Center | 612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027 | 2020-11-03 |
| 1477176634 | St. Peter's Health Partners Medical Associates, P.C. | Clinic/Center | 1301 River Street Suite 202, St. Peter's Obgyn At Valatie, Valatie, NY 12184-8696 | 2020-05-22 |
| 1831718196 | Critical Care Medicine Services - New York, P.C. | Clinic/Center | 747 3rd Ave Ste 28b, New York, NY 10017-2803 | 2020-04-15 |
| 1275172280 | Citimedical Services PC | Clinic/Center | 6336 99th St Fl 1, Rego Park, NY 11374-1979 | 2019-12-23 |
| 1225688419 | Artisans Ambulatory Medical Care Pllc | Clinic/Center | 4521 Arthur Kill Rd Fl 2, Staten Island, NY 10309-1315 | 2019-09-19 |
| 1336799295 | Wellness Medical Services of Manhattan PC | Clinic/Center | 51 E 25th St Ste 499, New York, NY 10010-2945 | 2019-09-12 |
| 1790347243 | Jacob Jacoby Md | Clinic/Center | 100 Route 59 Ste 103, Suffern, NY 10901-4927 | 2019-07-05 |
| 1174089056 | City Medical of Upper East Side, Pllc | Clinic/Center | 216 E 14th St Ste B, New York, NY 10003-4105 | 2019-02-15 |
| 1770051690 | Seagull Medical Services | Clinic/Center | 105 Norwalk Ave, Staten Island, NY 10314-5658 | 2018-11-08 |
| 1093282329 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 500 W 33rd St, New York, NY 10001-1301 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PHOENIX HOUSES OF LONG ISLAND, INC..
| 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.