LONG ISLAND SELECT HEALTHCARE, INC. (NPI# 1700331691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700331691 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND SELECT HEALTHCARE, INC. |
| Other Organization Name | LISH, INC. |
| Practice Address |
120 Plant Ave Hauppauge NY 11788-3805 |
| 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 | 2016-08-20 |
| 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 |
| 1467805515 | Long Island Select Healthcare, Inc. | Clinic/Center | 250 Marcus Blvd, Hauppauge, NY 11788-2018 | 2016-07-13 |
| 1447603501 | Long Island Select Healthcare, Inc. | Clinic/Center | 75 Landing Meadow Rd, Smithtown, NY 11787-1124 | 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 |
120 PLANT AVE |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215041447 | Barbara Ann Shultz | Psychologist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2006-08-17 |
| 1093028466 | Kirk Osterman | Physical Therapy Assistant | 120 Plant Ave, Family Wellness Center, Hauppauge, NY 11788-3804 | 2010-07-14 |
| 1386886232 | Family Residences & Essential Enterprises, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3804 | 2009-03-24 |
| 1841435856 | Thomas Carmine Debello Jr. | Social Worker | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2008-12-04 |
| 1801076724 | Gary S Seiden | Dentist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-11-08 |
| 1407063621 | Jazmin Yannetin Garcia | Dental Assistant | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-05-17 |
| 1457575201 | Ramak Bakhshoudeh | Physical Therapist | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-04-12 |
| 1326170689 | Satwatie Antis | Nurse Practitioner | 120 Plant Ave, Hauppauge, NY 11788 | 2007-03-12 |
| 1871623173 | Sandra Guillen | Dental Assistant | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-03-06 |
| 1093863565 | Family Residences & Essential Enterprises, Inc. | Clinic/Center | 120 Plant Ave, Hauppauge, NY 11788-3805 | 2007-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1598299356 | Charles Evans Center, Inc | Clinic/Center | 305 Oser Ave, Hauppauge, NY 11788-3607 | 2017-04-18 |
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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.