LONG ISLAND JEWISH MEDICAL CENTER (NPI# 1922543602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922543602 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND JEWISH MEDICAL CENTER |
| Other Organization Name | NORTHWELL HEALTH - BEHAVIORAL HEALTH SERVICE LINE |
| Practice Address |
27005 76th Ave New Hyde Park NY 11040-1402 |
| Mailing Address |
972 Brush Hollow Rd 5th Floor Westbury NY 11590-1740 |
| Practice Telephone | 5164658089 |
| Mailing Telephone | 5168766065 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | MR. ROBERT S SHAPIRO (EXEC. VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 5163216025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwell Health - Behavioral Health Service Line | Other Name - Individual/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 |
| 1750737565 | Long Island Jewish Medical Center | Psychiatric Unit | 900 Franklin Ave, Valley Stream, NY 11580 | 2016-05-11 |
| 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 |
27005 76TH AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950817 | Maria C Adragna | Anesthesiology | 27005 76th Ave, New Hyde Park, NY 11040-1433 | 2005-05-31 |
| 1730789538 | Daniela Farzadfar | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-29 |
| 1669072096 | Barbara Barsoum | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-26 |
| 1962000547 | Dana Rucco | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-10-15 |
| 1407454200 | Jessica Marie Maas | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-10-14 |
| 1407463318 | Lori Ohanesian | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-24 |
| 1063029106 | Nicole Mulvey | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-09-23 |
| 1528674314 | William Christopher Arthur | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-17 |
| 1508470238 | Kiara Goldwag | Registered Nurse | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-09-01 |
| 1710590948 | Laura Calcagni | Nurse Practitioner | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 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 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 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 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955934 | Hillside Tms Pllc | Psychiatry & Neurology | 1575 Hillside Ave Ste 208, New Hyde Park, NY 11040-2501 | 2020-09-01 |
| 1437546736 | Mason Chang | Psychiatry & Neurology | 1951 Stewart Ave, New Hyde Park, NY 11040-1625 | 2015-04-24 |
| 1720473861 | Livia G Beck Psychiatry Pllc | Psychiatry & Neurology | 1110 Cedar Dr W, New Hyde Park, NY 11040-1206 | 2015-04-06 |
| 1023261310 | Asiya Kabir | Psychiatry & Neurology | 56 Grattan St, New Hyde Park, NY 11040-2410 | 2008-10-30 |
| 1043485691 | Joanna Sabina Gedzior | Psychiatry & Neurology | 270-05 76th Avenue Consultation Psychiatry, The North Shore - Long Island Jewish Health System, New Hyde Park, NY 11040 | 2008-04-24 |
| 1306874151 | Ronald Gordon | Psychiatry & Neurology | 425 Old Courthouse Rd, New Hyde Park, NY 11040-1115 | 2006-06-29 |
| 1952912354 | Saiul Islam | Psychiatry & Neurology | 27005 76th Ave, New Hyde Park, NY 11040-1496 | 2020-08-11 |
| 1902285539 | Michael A Beck Psychiatry Pllc | Psychiatry & Neurology | 1110 Cedar Dr W, New Hyde Park, NY 11040-1206 | 2015-05-28 |
| 1487056255 | Bridget Collins | Psychiatry & Neurology | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2014-09-23 |
| 1508267113 | Queens Nassau Psychiatric Services Pllc | Psychiatry & Neurology | 26619 Union Tpke, New Hyde Park, NY 11040-1426 | 2014-09-15 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.