SOUTHSIDE HOSPITAL (NPI# 1184798977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184798977 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE HOSPITAL |
| Other Organization Name | CENTRAL ISLIP HEALTH CENTER |
| Practice Address |
45 W Suffolk Ave Central Islip NY 11722-2143 |
| Mailing Address |
7 Farmhouse Dr Ridge NY 11961-2169 |
| Practice Telephone | 6318532710 |
| Mailing Telephone | 6312059626 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DOUGLAS A. RIGGS (RPAC) |
| Authorized Official Telephone | 6318532710 |
| Authorized Official Credential | RPAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
006564-1 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Islip Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235640210 | Southside Hospital | Pharmacy | 301 E Main St, Bay Shore, NY 11706-8408 | 2017-10-18 |
| 1851643704 | Southside Hospital | Anesthesiology | 301 E Main St, Bay Shore, NY 11706-8408 | 2012-10-02 |
| 1457369381 | Southside Hospital | General Acute Care Hospital | 301 E Main St, Bay Shore, NY 11706-8408 | 2006-08-04 |
| 1366450298 | Southside Hospital | Psychiatric Unit | 301 E Main St, Bay Shore, NY 11706 | 2006-08-04 |
| 1275541104 | Southside Hospital | Rehabilitation Unit | 301 E Main St, Bay Shore, NY 11706-8408 | 2006-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SOUTHSIDE HOSPITALITY INC. | 2815 N. Augusta St, Suite B, Staunton, Virginia 24401 |
| New York State Corporations | SOUTHSIDE HOSPITALITY LLC | 217 Havemeyer Street, 4th Floor, Brooklyn, Ny 11211 |
| Street Address |
45 W SUFFOLK AVE |
| City | CENTRAL ISLIP |
| State | NY |
| Zip Code | 11722-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528001260 | David Sanchez | Pediatrics | 45 W Suffolk Ave, Suite 200, Central Islip, NY 11722-2156 | 2006-06-13 |
| 1588094288 | Suffolk Medical PC | Family Medicine | 45 W Suffolk Ave, 2nd Floor, Central Islip, NY 11722-2156 | 2013-11-15 |
| 1427355775 | Suffolk Pediatric, PC | Family Medicine | 45 W Suffolk Ave, 2nd Floor, Central Islip, NY 11722-2156 | 2011-02-23 |
| 1861663064 | Kathleen Fitzsimons Mccarroll | Nurse Practitioner | 45 W Suffolk Ave, Suite 200, Central Islip, NY 11722-2143 | 2008-03-14 |
| 1457455669 | Suffolk County Dept of Health Services | Clinic/Center | 45 W Suffolk Ave, Central Islip, NY 11722-2143 | 2006-09-08 |
| 1265448682 | Sarita Khanijo | Family Medicine | 45 W Suffolk Ave, Central Islip, NY 11722-2143 | 2006-07-31 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518230457 | Carl-henri Sanchez, Md. PC. | Clinic/Center | 108 W Suffolk Ave, B, Central Islip, NY 11722-2165 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| 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.