GOOD SAMARITAN HOSPITAL MEDICAL CENTER (NPI# 1194884312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194884312 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Practice Address |
929 Sunrise Hwy Bay Shore NY 11706-5907 |
| Mailing Address |
1000 Montauk Hwy West Islip NY 11795-4927 |
| Practice Telephone | 6312248510 |
| Mailing Telephone | 6313763000 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | MR. WILLIAM ALLISON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6313764003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03000328 | 05 | |
| NY | BLUE CROSS | 005308 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124187349 | Good Samaritan Hospital Medical Center | Clinic/Center | 185 S 10th St, Lindenhurst, NY 11757-4505 | 2006-12-06 |
| 1275529612 | Good Samaritan Hospital Medical Center | Skilled Nursing Facility | 101 Elm St, Sayville, NY 11782-3111 | 2005-09-21 |
| 1548501620 | Good Samaritan Hospital Medical Center | Internal Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2013-03-14 |
| 1851663140 | Good Samaritan Hospital Medical Center | Pediatrics | 1000 Montauk Hwy, Attn: Finance, West Islip, NY 11795-4927 | 2012-02-01 |
| 1275820961 | Good Samaritan Hospital Medical Center | Clinic/Center | 15 Park Ave, Bay Shore, NY 11706-7381 | 2011-07-01 |
| 1447487988 | Good Samaritan Hospital Medical Center | Internal Medicine | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2009-06-11 |
| 1932260809 | Good Samaritan Hospital Medical Center | Clinic/Center | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2006-12-13 |
| 1518901180 | Good Samaritan Hospital Medical Center | Radiology | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2006-06-15 |
| 1902865355 | Good Samaritan Hospital Medical Center | General Acute Care Hospital | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2006-03-22 |
| 1700885472 | Good Samaritan Hospital Medical Center | Home Health | 15 Park Ave, Suite 200, Bay Shore, NY 11706-7381 | 2005-07-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GOOD SAMARITAN HOSPITAL MEDICAL CENTER | 1000 Montauk Highway, West Islip, New York 11795 |
| Street Address |
929 SUNRISE HWY |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801433834 | New York Dialysis Services, Inc | Clinic/Center | 929 Sunrise Hwy, Bay Shore, NY 11706-5907 | 2019-12-10 |
| 1447656756 | Vestal Healthcare, LLC | Clinic/Center | 929 Sunrise Hwy, Bay Shore, NY 11706-5907 | 2014-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| 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 |
|---|---|---|---|---|
| 1801433834 | New York Dialysis Services, Inc | Clinic/Center | 929 Sunrise Hwy, Bay Shore, NY 11706-5907 | 2019-12-10 |
| 1447656756 | Vestal Healthcare, LLC | Clinic/Center | 929 Sunrise Hwy, Bay Shore, NY 11706-5907 | 2014-11-13 |
| 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 | ||||
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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.