DR. ISSA T MADHOUN


Address: 192 Executive Dr, New Hyde Park, NY 11040-1051
Phone: 5163654948

DR. ISSA T MADHOUN (NPI# 1679771927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679771927
Entity Type Individual
Full Name DR. ISSA T MADHOUN
Credential M.D.
Practice Address 192 Executive Dr
New Hyde Park
NY 11040-1051
Mailing Address 192 Executive Drive
New Hyde Park
NY 11040
Practice Telephone 5163654948
Mailing Telephone 5163654948
Enumeration Date 2007-07-10
Last Update Date 2007-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282E00000X Long Term Care Hospital 118166 NY Hospitals

Office Location

Street Address 192 EXECUTIVE DR
City NEW HYDE PARK
State NY
Zip Code 11040-1051

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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
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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
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Taxonomy Information

Taxonomy Code 282E00000X
Grouping Hospitals
Classification Long Term Care Hospital

Taxonomy Definition

Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
Notes: Source: American Hospital Association [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467796896 Atc Healthcare Long Term Care Hospital 1983 Marcus Ave, New Hyde Park, NY 11042-2000 2012-11-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912498783 Rays of Light Companion Care Agency LLC Long Term Care Hospital 70 Forest Ave # 2g, Glen Cove, NY 11542 2018-05-28
1891236485 Omolara Omotunde-oniwe Long Term Care Hospital 13720 171st St, Jamaica, NY 11434-4506 2017-03-15
1972047934 Lilian M Collins Long Term Care Hospital 742 Bartholdi St, Bronx, NY 10467-6206 2016-12-10
1740734557 Jacobi Medical Center Long Term Care Hospital 2265 5th Ave Apt 1b, New York, NY 10037-2051 2016-08-09
1306228085 Wyckoff Dr. Guberman Wyckoff Heights Medical Center Long Term Care Hospital 1488 Buschwick Ave, Apt #4c, Brooklyn, NY 11207 2015-06-18
1104235308 Shanti Koirala Pradhan Long Term Care Hospital 1955 1st Ave Apt 721, Aspen Apt 721, New York, NY 10029-6446 2014-08-13
1982945754 Elena Mare Barone Long Term Care Hospital 56 Quincy Pl, West Islip, NY 11795-1938 2013-03-04
1528302494 Kelly Mcmurray Long Term Care Hospital 32 Losson Garden Dr Apt 2, Cheektowaga, NY 14227-2305 2012-11-16
1437426905 New York University Langone Medical Center Long Term Care Hospital 425 E 114th St Apt 4fw, New York, NY 10029-2357 2011-11-28
1952698268 New York Hospital Queens Long Term Care Hospital 335 Meadowview Ave, Hewlett, NY 11557-1701 2011-07-07
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Competitor

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City NEW HYDE PARK
Zip Code 11040

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Dataset Information

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.

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