LONG ISLAND JEWISH MEDICAL CENTER (NPI# 1346603107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346603107 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND JEWISH MEDICAL CENTER |
| Other Organization Name | LONG ISLAND JEWISH VALLEY STREAM |
| Practice Address |
900 Franklin Ave Valley Stream NY 11580-2145 |
| Mailing Address |
972 Brush Hollow Rd Fl 5 Westbury NY 11590-1740 |
| Practice Telephone | 5162566600 |
| Mailing Telephone | 5168766065 |
| Mailing Fax Number | 5168765572 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | MRS. MICHELE LEE CUSACK (SENIOR VP & 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 | Hospitals |
| Other Name | Type Code |
|---|---|
| Long Island Jewish Valley Stream | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1295098002 | Long Island Jewish Medical Center | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2012-06-18 |
| 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 |
900 FRANKLIN AVE |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639591 | Jerald Darvishzadeh | Anesthesiology | 900 Franklin Ave, Anesthesia Department, Valley Stream, NY 11580-2145 | 2005-06-15 |
| 1205442100 | Madeleine Ann Reyes | Surgery | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-09-17 |
| 1376153700 | Mei L Lu | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-31 |
| 1508484858 | Virghinya Ridwan | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-13 |
| 1588298806 | Melissa Lopez | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-02-25 |
| 1659918316 | Nassau Spine Intraop Monitoring Medical | Specialist/Technologist, Other | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-12-02 |
| 1841841145 | Hannah Elizabeth Mathew | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-27 |
| 1972154565 | Karim Mohamed | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-25 |
| 1992354427 | Jessy Mathew | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-07 |
| 1073162913 | Nicholas Crozier | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| 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 |
|---|---|---|---|---|
| 1215027503 | The Kings County Hospital Center | General Acute Care Hospital | 316 Arkansas Dr, Valley Stream, NY 11580-1804 | 2006-10-15 |
| 1841550290 | Elsie M. Stfleur | General Acute Care Hospital | 20 Henry St, Valley Stream, NY 11580-1016 | 2012-05-19 |
| 1689954075 | Allison S Potar | General Acute Care Hospital | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2011-08-17 |
| 1528075108 | Franklin Hospital | General Acute Care Hospital | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
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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.