MARY IMMACULATE HOSPITAL (NPI# 1679696330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679696330 |
| Entity Type | Organization |
| Organization Name | MARY IMMACULATE HOSPITAL |
| Practice Address |
15211 89th Ave Jamaica NY 11432-3730 |
| Mailing Address |
45 Barrypark Ct Albertson NY 11507-1501 |
| Practice Telephone | 7185582701 |
| Mailing Telephone | 5167415465 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. USHA C RUDER (CHAIPERSON) |
| Authorized Official Telephone | 7185582701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 181564 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629414867 | Mary Immaculate Hospital | Pharmacy | 12720 Mcmanus Blvd Ste 100, Newport News, VA 23602-4414 | 2013-05-15 |
| 1245364223 | Mary Immaculate Hospital | General Acute Care Hospital | 24 Night Heron Dr, Stony Brook, NY 11790-1108 | 2007-03-14 |
| 1316041924 | Mary Immaculate Hospital | Dentist | 11449 Sutphin Blvd, Jamaica, NY 11434-1022 | 2006-09-12 |
| 1194267229 | Mary Immaculate Hospital | Obstetrics & Gynecology | 12720 Mcmanus Blvd, Suite 301, Newport News, VA 23602-4414 | 2016-11-07 |
| 1689047979 | Mary Immaculate Hospital | Surgery | 12720 Mcmanus Blvd, Suite 203, Newport News, VA 23602-4414 | 2015-11-09 |
| 1356625073 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 303, Newport News, VA 23602-4414 | 2011-09-29 |
| 1265715932 | Mary Immaculate Hospital | Obstetrics & Gynecology | 500 Sentara Cir, Suite 102, Williamsburg, VA 23188-5727 | 2011-09-20 |
| 1578841367 | Mary Immaculate Hospital | Internal Medicine | 885 Kempsville Rd, Suite 320, Norfolk, VA 23502-3800 | 2011-07-27 |
| 1962719666 | Mary Immaculate Hospital | Surgery | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2010-09-02 |
| 1003130394 | Mary Immaculate Hospital | Internal Medicine | 12720 Mcmanus Blvd, Suite 201, Newport News, VA 23602-4414 | 2010-03-16 |
| Street Address |
15211 89TH AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731279 | Monsignor Fitzpatrick Sn Pavilion | Skilled Nursing Facility | 15211 89th Ave, Jamaica, NY 11432-3730 | 2005-09-26 |
| 1063688331 | Zumaira Fatima | Internal Medicine | 15211 89th Ave, Jamaica, NY 11432-3730 | 2008-05-06 |
| 1528252863 | Dipti B Joshi II | Internal Medicine | 15211 89th Ave, Dept. of Medicine 7th Floor, Jamaica, NY 11432-3730 | 2007-08-29 |
| 1831397249 | Carolyn Maureen Zimmermann | Physician Assistant | 15211 89th Ave, Jamaica, NY 11432-3730 | 2007-07-06 |
| 1538364013 | Jean Kittelberger Joyce | Physician Assistant | 15211 89th Ave, Caritas Health Care, Jamaica, NY 11432-3730 | 2007-06-15 |
| 1851592927 | Angela V Pantelias | Physician Assistant | 15211 89th Ave, 2nd Floor Orthopaedics, Jamaica, NY 11432-3730 | 2007-05-29 |
| 1649471749 | Andromachi A Picoula | Physician Assistant | 15211 89th Ave, Orthopaedics 2nd Floor, Jamaica, NY 11432-3730 | 2007-05-29 |
| 1912118100 | Roger Mathew | Psychiatry & Neurology | 15211 89th Ave, Mary Immaculate Hospital, Jamaica, NY 11432-3730 | 2007-05-27 |
| 1912114455 | Usha C Ruder | Pathology | 15211 89th Ave, Jamaica, NY 11432-3730 | 2007-05-16 |
| 1255546560 | Parul Anup Gheewala | Pathology | 15211 89th Ave, Jamaica, NY 11432-3730 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| 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 |
|---|---|---|---|---|
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1922377084 | Woodhull Medical Center | General Acute Care Hospital | 16323 Mathias Ave, Jamaica, NY 11433-3926 | 2011-12-19 |
| 1265679229 | Jamaica Hospital Medical Center | General Acute Care Hospital | 8900 Van Wyck Express Way, Jamaica Hospital Medical Center, Jamaica, NY 11418 | 2009-01-13 |
| 1578932083 | Vivian Lata | General Acute Care Hospital | 8268 164th St, Jamaica, NY 11432-1121 | 2015-09-15 |
| 1144473174 | Jamaica Hospital Medical Center | General Acute Care Hospital | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2008-11-04 |
| 1982863080 | Mount Sinai Services | General Acute Care Hospital | 8268 164th St, Jamaica, NY 11432-1121 | 2008-06-03 |
| 1780857227 | Jamaica Hospital Medical Center | General Acute Care Hospital | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2008-04-04 |
| 1245432483 | Jamaica Hospital Medical Center | General Acute Care Hospital | 8900 Van Wyck Expy, Jamaica, NY 11418-2897 | 2007-06-01 |
| 1851430235 | Jamaica Hospital Medical Center | General Acute Care Hospital | 8900 Van Wyck Expressway, Emergency Room Registration Dept, Jamaica, NY 11418 | 2007-02-05 |
| 1013066679 | Catholic Medical Center of Brooklyn and Queens | General Acute Care Hospital | 15211 89th Ave, Jamaica, NY 11432-3730 | 2007-01-10 |
| Find all providers in JAMAICA | ||||
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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.