LONG ISLAND SELECT HEALTHCARE, INC. (NPI# 1447603501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447603501 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND SELECT HEALTHCARE, INC. |
| Other Organization Name | LISH, INC. |
| Practice Address |
75 Landing Meadow Rd Smithtown NY 11787-1124 |
| Mailing Address |
159 Carleton Ave Central Islip NY 11722-4172 |
| Practice Telephone | 6316502510 |
| Practice Fax Number | 6316500497 |
| Mailing Telephone | 6316502510 |
| Mailing Fax Number | 6316500497 |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | JAMES POWELL (CEO) |
| Authorized Official Telephone | 6316502085 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LISH, Inc. | Doing Business As Name - Organization |
| Long Island Select Healthcare Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417300575 | Long Island Select Healthcare, Inc. | Clinic/Center | 33 Terryville Rd, Port Jefferson Station, NY 11776-1331 | 2016-07-13 |
| 1518310689 | Long Island Select Healthcare, Inc. | Clinic/Center | 221 N Sunrise Svc Rd, Manorville, NY 11949-9604 | 2016-07-13 |
| 1699220582 | Long Island Select Healthcare, Inc. | Clinic/Center | 221 N Sunrise Svc Rd, Manorville, NY 11949-9604 | 2016-08-20 |
| 1235684127 | Long Island Select Healthcare, Inc. | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2016-08-20 |
| 1265987150 | Long Island Select Healthcare, Inc. | Clinic/Center | 883 E Main St, Riverhead, NY 11901-2613 | 2016-08-20 |
| 1891240784 | Long Island Select Healthcare, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2016-08-20 |
| 1700331691 | Long Island Select Healthcare, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2016-08-20 |
| 1467805515 | Long Island Select Healthcare, Inc. | Clinic/Center | 250 Marcus Blvd, Hauppauge, NY 11788-2018 | 2016-07-13 |
| 1043663107 | Long Island Select Healthcare, Inc. | Clinic/Center | 159 Carleton Ave, Central Islip, NY 11722-4172 | 2016-07-13 |
| 1356794408 | Long Island Select Healthcare, Inc. | Clinic/Center | 5 Union Ave, Center Moriches, NY 11934-3336 | 2016-07-13 |
| Street Address |
75 LANDING MEADOW RD |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467466581 | James Robert Powell | Internal Medicine | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2006-07-27 |
| 1093238222 | Jaclyn Sara Dimattei | Nurse Practitioner | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2017-07-19 |
| 1235684127 | Long Island Select Healthcare, Inc. | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2016-08-20 |
| 1801130141 | Catherine M Cardello | Registered Nurse | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2012-11-26 |
| 1124270012 | Celenia Hines | Speech-Language Pathologist | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2008-10-22 |
| 1063664126 | Steven Rossi | Speech-Language Pathologist | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2008-10-21 |
| 1396910626 | Developmental Disabilities Institute | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2008-04-28 |
| 1437324076 | Developmental Disabilities Institure | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2008-04-24 |
| 1689793366 | Kimberly Mullen James | Psychologist | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 2007-03-27 |
| 1679623896 | Nancy J Fortin | Nurse Practitioner | 75 Landing Meadow Rd, Opti Health Care, Smithtown, NY 11787 | 2007-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.