HILLSIDE DIAGNOSTIC AND TREATMENT CENTER, LLC (NPI# 1548343817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548343817 |
Entity Type | Organization |
Organization Name | HILLSIDE DIAGNOSTIC AND TREATMENT CENTER, LLC |
Other Organization Name | HILLSIDE SURGICARE |
Practice Address |
18811 Hillside Ave Jamaica NY 11423-1935 |
Practice Telephone | 7182646700 |
Practice Fax Number | 7182646833 |
Mailing Telephone | 7182646700 |
Mailing Fax Number | 7182646833 |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-10-02 |
Authorized Official Name | MR. DOUG WISSMANN (FINANCE DIRECTOR) |
Authorized Official Telephone | 7182918200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02100856 | 05 |
Other Name | Type Code |
---|---|
Hillside SurgiCare | Doing Business As Name - Organization |
Street Address |
18811 HILLSIDE AVE |
City | JAMAICA |
State | NY |
Zip Code | 11423-1935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255769683 | Language Fundamentals Inc | Home Health | 18811 Hillside Ave, Jamaica, NY 11423-1935 | 2013-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679112668 | Mandip Kaur | Student in an Organized Health Care Education/Training Program | 89 - 06 - 188 Street, First Floor, Hollis, NY 11423 | 2019-12-23 |
1437633690 | Lisa Martins-mueller | Speech-Language Pathologist | 90-11 191 St Avenue, Nyc School District 29 Superintendents Office, Hollis, NY 11423 | 2018-09-23 |
1114407491 | Moamen Mohamed Hassanen | Physical Therapist | 204-12 Hillside Ave, Hollis, NY 11423 | 2018-08-16 |
1114403730 | Favour Osemwota | Licensed Practical Nurse | 10036 203rd St, Hollis, NY 11423 | 2018-07-17 |
1417448234 | Hollis Primary Care P.C. | Internal Medicine | 196 22 Hillside Ave, Hollis, NY 11423 | 2018-05-29 |
1801309984 | Roh Physical Therapy P.C. | Clinic/Center | 205-16 Jamaica Ave, Hollis, NY 11423 | 2017-11-10 |
1780113167 | Lissamma George | Registered Nurse | 88 45 199 Street, Queens, NY 11423 | 2017-06-08 |
1881121499 | Calvin Wu | Case Manager/Care Coordinator | 8762 188th Street, Hollis, NY 11423 | 2017-05-12 |
1932635182 | Lauren Irene Sutherland | Licensed Practical Nurse | 10216 Farmers Blvd, Hollis, NY 11423 | 2017-05-10 |
1023541190 | Gwyneth Julien-squire | Licensed Practical Nurse | 190-25 Woodhull Apt. 3h, Hollis, NY 11423 | 2017-04-06 |
Find all providers in zip 11423 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235600701 | Cmsc, LLC | Clinic/Center | 9212 165th St, Jamaica, NY 11433-1104 | 2018-12-10 |
1306338371 | Podiatry Doctor PC | Clinic/Center | 16110 Jamaica Ave, Jamaica, NY 11432-6139 | 2018-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
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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.