LONG ISLAND JEWISH MEDICAL CENTER (NPI# 1750737565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750737565 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND JEWISH MEDICAL CENTER |
| Other Organization Name | LONG ISLAND JEWISH VALLEY STREAM PSYCHIATRIC UNIT |
| Practice Address |
900 Franklin Ave Valley Stream NY 11580 |
| Mailing Address |
900 Franklin Ave Valley Stream NY 11580-2145 |
| Practice Telephone | 5162566000 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | MRS. MICHELE LEE CUSACK (SENIOR VP & CFO) |
| Authorized Official Telephone | 5163216058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Long Island Jewish Valley Stream Psychiatric Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842393 | Long Island Jewish Medical Center | General Acute Care Hospital | 7559 263rd Street @ 74th Avenue, Glen Oaks, NY 11004-1050 | 2015-01-30 |
| 1841320967 | Long Island Jewish Medical Center | Psychiatric Unit | 7559 263 Street, Lowenstein Pavilion 140, Glen Oaks, NY 11004 | 2007-03-07 |
| 1093723488 | Long Island Jewish Medical Center | Clinic/Center | 22022 Hillside Avenue, Queens Village, NY 11427-2020 | 2006-08-03 |
| 1073585691 | Long Island Jewish Medical Center | Home Health | 1983 Marcus Ave, New Hyde Park, NY 11042 | 2006-02-07 |
| 1871024455 | Long Island Jewish Medical Center | Pharmacy | 7559 263rd St, Vivo Health Pharmacy At Zucker Hillside Hospital, Glen Oaks, NY 11004-1150 | 2017-03-24 |
| 1922543602 | Long Island Jewish Medical Center | Nurse Practitioner | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2017-01-04 |
| 1346603107 | Long Island Jewish Medical Center | General Acute Care Hospital | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2016-03-30 |
| 1649678632 | Long Island Jewish Medical Center | Rehabilitation Hospital | 430 Lakeville Rd, New Hyde Park, NY 11042-1121 | 2014-12-08 |
| 1174926406 | Long Island Jewish Medical Center | Pharmacy | 270-05 76th Ave, Attn: Vivo Health Pharmacy At Lij, New Hyde Park, NY 11040-1402 | 2014-10-01 |
| 1295098002 | Long Island Jewish Medical Center | General Acute Care Hospital | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2012-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76th Avenue, New Hyde Park, NY 11040-1402 |
| New York State Corporations | LONG ISLAND JEWISH MEDICAL CENTER | 270-05 76th Avenue, New Hyde Park, Ny 11040 |
| New York State Corporations | LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY, INC. | 2000 Marcus Avenue, New Hyde Park, Ny 11042 |
| New York State Corporations | LONG ISLAND JEWISH MEDICAL CENTER STAFF SOCIETY, INC. | 600 Old Country Road, Suite 320, Garden City, Ny 11530 |
| Street Address |
900 FRANKLIN AVE |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639591 | Jerald Darvishzadeh | Anesthesiology | 900 Franklin Ave, Anesthesia Department, Valley Stream, NY 11580-2145 | 2005-06-15 |
| 1205442100 | Madeleine Ann Reyes | Surgery | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-09-17 |
| 1376153700 | Mei L Lu | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-31 |
| 1508484858 | Virghinya Ridwan | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-13 |
| 1588298806 | Melissa Lopez | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-02-25 |
| 1659918316 | Nassau Spine Intraop Monitoring Medical | Specialist/Technologist, Other | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-12-02 |
| 1841841145 | Hannah Elizabeth Mathew | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-27 |
| 1972154565 | Karim Mohamed | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-25 |
| 1992354427 | Jessy Mathew | Nurse Practitioner | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-07 |
| 1073162913 | Nicholas Crozier | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962410993 | Franklin Medical Center Psychiatric Unit | Psychiatric Unit | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063861078 | Union Community Health Center | Psychiatric Unit | 260 Eats 188th Street, Bronx, NY 10458-5302 | 2016-06-09 |
| 1033579446 | Pura Garcia-serrablo | Psychiatric Unit | 21006 42nd Ave, Apt. 1e, Bayside, NY 11361-2771 | 2016-02-26 |
| 1376916635 | Edith | Psychiatric Unit | 2123 41st St, 1st Floor, Astoria, NY 11105-1708 | 2015-11-09 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1366868218 | Brian Connelly | Psychiatric Unit | 27 Cheryl Dr, Shoreham, NY 11786-2356 | 2014-03-14 |
| 1104253772 | Pederson-krag | Psychiatric Unit | 77 Radcliffe Ave., Farmingdale, NY 11735 | 2013-09-27 |
| 1942544903 | Grand Manor Nursing Home | Psychiatric Unit | 922 E 222nd St, Apt 1, Bronx, NY 10469-1018 | 2012-11-15 |
| 1407126931 | Jon Ehinger | Psychiatric Unit | 441 16th St Apt 2r, Brooklyn, NY 11215-5892 | 2011-12-30 |
| 1497022800 | Creedmor Psychiatric Center | Psychiatric Unit | 7925 Winchester Boulevard, Creedmoor Psychiatric Center Medical Education, Queens Village, NY 11427 | 2011-11-30 |
| 1750608998 | Nyp Columbia | Psychiatric Unit | 4588 Broadway, 622 West 168th St, New York, NY 10040-2101 | 2010-04-28 |
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| City | VALLEY STREAM |
| Zip Code | 11580 |
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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.