QUEENS - LONG ISLAND RENAL INSTITUTE, INC. (NPI# 1477785384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477785384 |
| Entity Type | Organization |
| Organization Name | QUEENS - LONG ISLAND RENAL INSTITUTE, INC. |
| Practice Address |
27111 76th Ave New Hyde Park NY 11040-1436 |
| Practice Telephone | 7182892100 |
| Practice Fax Number | 7182892323 |
| Mailing Telephone | 7182892100 |
| Mailing Fax Number | 7182892323 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |
| Authorized Official Name | MR. MICHAEL N ROSENBLUT (PRESIDENT / CEO) |
| Authorized Official Telephone | 7182892100 |
| 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 |
| Street Address |
27111 76TH AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987565 | Sorina Viorica Dogaru-lungu | Internal Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2005-07-22 |
| 1861027880 | Alesha Brantley | Registered Nurse | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2020-03-10 |
| 1881193316 | Anand Medical P.C. | Family Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2018-02-10 |
| 1881109387 | Nyc-metro Physician Services PC | General Practice | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2017-12-06 |
| 1447764725 | Betty Iskhakov | Pharmacist | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2017-11-26 |
| 1780038265 | Standard Care Medical PC | Internal Medicine | 27111 76th Ave, C/o Dr. Nadia Irshad, Md, Dept. of Medicine-2nd Floor, New Hyde Park, NY 11040-1436 | 2016-04-20 |
| 1275996878 | Craig Bhoorasingh | Registered Nurse | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2016-03-31 |
| 1093110025 | Geralda Pelissier | Nurse Practitioner | 27111 76th Ave, New Hyde Park, NY 11040 | 2014-11-04 |
| 1164821120 | Parker Jewish Institute for Health Care and Rehabilitation | Alzheimer Center (Dementia Center) | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2014-08-15 |
| 1487095196 | Carlos Miguel Tellechea | Family Medicine | 27111 76th Ave, New Hyde Park, NY 11040-1436 | 2013-07-10 |
| Find all providers in the same location | ||||
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350852 | New Hyde Park Dialysis Center, LLC | Clinic/Center | 1574 Hillside Ave, New Hyde Park, NY 11040-2527 | 2005-07-18 |
| 1326135971 | Long Island Jewish Medical Center | Clinic/Center | 27005 76th Ave, New Hyde Park, NY 11040-1433 | 2006-10-06 |
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|---|---|---|---|---|
| 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 | ||||
| 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.