PROHEALTH CARE ASSOCIATES, LLP (NPI# 1700960440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700960440 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE ASSOCIATES, LLP |
| Other Organization Name | ISLAND MEDICAL GROUP A DIVISION OF PROHEALTH CARE ASSOCIATES, LLP |
| Practice Address |
4045 Hempstead Tpke Bethpage NY 11714-5611 |
| Mailing Address |
1 Dakota Drive Suite 320 Lake Success NY 11042 |
| Practice Telephone | 5167317770 |
| Practice Fax Number | 5167317059 |
| Mailing Telephone | 5166226190 |
| Mailing Fax Number | 5166222914 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. DAVID COOPER (CEO, MANAGING PARTNER) |
| Authorized Official Telephone | 5166226000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PROHEALTH CARE ASSOCIATES, LLP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 33D0156362 | NY | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE ID | A300055237 | 01 |
| Other Name | Type Code |
|---|---|
| Bethpage Medical Laboratory A Division of ProHealth Care Associates, LLP | Doing Business As Name - Organization |
| Island Medical Group A Division of ProHealth Care Associates, LLP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1467910752 | Prohealth Care Associates, LLP | Occupational Therapist | 235 Mill St Ste 1, Lawrence, NY 11559-1209 | 2019-03-06 |
| 1477011682 | Prohealth Care Associates, LLP | Occupational Therapist | 327 Route 59 Ste 1, Airmont, NY 10952-3417 | 2019-03-06 |
| 1922566124 | Prohealth Care Associates, LLP | Occupational Therapist | 350 S Main St Ste 1, New City, NY 10956-3050 | 2019-03-06 |
| 1144788423 | Prohealth Care Associates, LLP | Occupational Therapist | 88 Ashford Ave Ste 101, Dobbs Ferry, NY 10522-1841 | 2019-03-06 |
| 1073071296 | Prohealth Care Associates, LLP | Occupational Therapist | 1086 N Broadway Ste 200, Yonkers, NY 10701-1124 | 2019-03-06 |
| 1891253084 | Prohealth Care Associates, LLP | Occupational Therapist | 2904 Bruckner Blvd Ste 1, Bronx, NY 10465-2101 | 2019-03-06 |
| 1508324898 | Prohealth Care Associates, LLP | Occupational Therapist | 667 Stoneleigh Ave Ste 117, Carmel, NY 10512-2455 | 2019-03-06 |
| Street Address |
4045 HEMPSTEAD TPKE |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-5611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972602555 | Jason Fishbein | Internal Medicine | 4045 Hempstead Tpke, 3rd Floor, Bethpage, NY 11714-5611 | 2006-09-21 |
| 1639683196 | Natalia Fortunato | Nurse Practitioner | 4045 Hempstead Tpke, Bethpage, NY 11714-5611 | 2017-11-20 |
| 1043690266 | Lauren Stephanie Zagaria | Family Medicine | 4045 Hempstead Tpke, Bethpage, NY 11714-5611 | 2015-06-03 |
| 1780089342 | Ching Yeh Lin | Family Medicine | 4045 Hempstead Tpke, Bethpage, NY 11714-5611 | 2014-10-24 |
| 1245594456 | Bradley Scott Mechak | Podiatrist | 4045 Hempstead Tpke, Bethpage, NY 11714 | 2012-07-02 |
| 1902082514 | Brian Michael Pultz | Internal Medicine | 4045 Hempstead Tpke, 3rd Floor, Bethpage, NY 11714-5611 | 2008-01-14 |
| 1750560421 | Joshua James Feiner | Internal Medicine | 4045 Hempstead Tpke, Third Floor, Bethpage, NY 11714-5611 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1285285148 | Anderson Diagnostics, Inc | Clinical Medical Laboratory | 425 N Broadway Unit 634, Jericho, NY 11753-5032 | 2019-09-23 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1043869068 | Champlain Toxicology Lab, LLC | Clinical Medical Laboratory | 32 Veterans Ln Ste 2, Plattsburgh, NY 12901-1217 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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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.