LONG ISLAND JEWISH MEDICAL CENTER (NPI# 1285641514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285641514 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND JEWISH MEDICAL CENTER |
| Practice Address |
270-05 76 Ave New Hyde Park NY 11040 |
| Mailing Address |
972 Brush Hollow Rd 5th Floor Finance Attn: William J. Fuchs Westbury NY 11590-1740 |
| Practice Telephone | 5168766000 |
| Practice Fax Number | 5168766600 |
| Mailing Telephone | 5168766000 |
| Mailing Fax Number | 5168766600 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MRS. MICHELE L. CUSACK (SENIOR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 5163216058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 7003004H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE CCN | 330195 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10201 66th Rd, Forest Hills, NY 113752029 | 7188304000 |
| 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 |
| 1093723488 | Long Island Jewish Medical Center | Clinic/Center | 22022 Hillside Avenue, Queens Village, NY 11427-2020 | 2006-08-03 |
| 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 |
| 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 |
270-05 76 AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154364784 | Francesca Maria Bullaro | Pediatrics | 270-05 76 Ave, Dept. of Emergency Medicine, New Hyde Park, NY 11040 | 2006-06-13 |
| 1316480197 | Abbey Langman | Registered Nurse | 270-05 76 Ave, New Hyde Park, NY 11040 | 2016-11-28 |
| 1891703369 | Long Island Jewish Home Health Agency | Home Health | 270-05 76 Ave, New Hyde Park, NY 11040 | 2006-08-03 |
| 1982611190 | Long Island Jewish Medical Center | Psychiatric Unit | 270-05 76 Ave, New Hyde Park, NY 11040 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871834291 | St. John's Episcopal Hospital | General Acute Care Hospital | 66 2nd Ave, New Hyde Park, NY 11040-5051 | 2013-03-11 |
| 1427389907 | Lij-ns Health System | General Acute Care Hospital | 270-05 76th Ave., Lij-ns Dept of Radiation Medicine, New Hyde Park, NY 11040 | 2010-01-22 |
| 1609090273 | Long Island Jewish Hospital | General Acute Care Hospital | 400 Lakeville Road, Suite 150, New Hyde Park, NY 11042-1110 | 2007-04-12 |
| 1528507225 | Northwell Long Island Jewish Hospital | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2017-02-15 |
| 1477946408 | North Shore Lij Health System | General Acute Care Hospital | 6 Ohio Dr, New Hyde Park, NY 11042-1124 | 2015-03-16 |
| 1275942906 | North Shore Long Island Jewish Health System Foundation | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2014-08-06 |
| 1275958050 | North Shore Lij Health System | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2014-03-03 |
| 1134461726 | Tiana Sunshine Grieco | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2013-03-21 |
| 1295098002 | Long Island Jewish Medical Center | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2012-06-18 |
| 1962711002 | Northshore/lij Health System | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2010-10-06 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.