ST. JOHN'S EPISCOPAL HOSPITAL (NPI# 1992959605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992959605 |
| Entity Type | Organization |
| Organization Name | ST. JOHN'S EPISCOPAL HOSPITAL |
| Practice Address |
327 Beach 19th St Far Rockaway NY 11691-4423 |
| Mailing Address |
Po Box 1386 Far Rockaway NY 11690-1386 |
| Practice Telephone | 5163492962 |
| Practice Fax Number | 5163492914 |
| Mailing Telephone | 5163492962 |
| Mailing Fax Number | 5163492914 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | MR. NED RINA (DIRECTOR PATIENT ACCOUNTS) |
| Authorized Official Telephone | 5163492901 |
| Is Organization Subpart | Y |
| Parent Organization Name | EPISCOPAL HEALTH SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02712563 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871834291 | St. John's Episcopal Hospital | General Acute Care Hospital | 66 2nd Ave, New Hyde Park, NY 11040-5051 | 2013-03-11 |
| 1245475144 | St. John's Episcopal Hospital | General Acute Care Hospital | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2008-12-05 |
| 1710131420 | St. John's Episcopal Hospital | Anesthesiology | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2008-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. JOHN'S EPISCOPAL HOSPITAL, SMITHTOWN-NORTH SUFFOLK PHYSICIAN HOSPITAL ORGANIZATION, INC. | 48 Route 25a, Smithtown, Ny 11787 |
| Street Address |
327 BEACH 19TH ST |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025341 | Horace Herbsman | Surgery | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2005-07-01 |
| 1861090151 | Valerie Revolus | Registered Nurse | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-10-09 |
| 1942828728 | Dipaloke Banik | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-07-08 |
| 1760007348 | Nicole Cedar Smith | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-10 |
| 1386268456 | Umair Haider | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-03 |
| 1831713924 | Judy Wong | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-03 |
| 1033733209 | Craig Andrew Biegel | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-06-03 |
| 1790308716 | Melody Figueroa | Registered Nurse | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-05-26 |
| 1174146575 | Manu Dhawan | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-05-20 |
| 1265054845 | Lakhvir Pabla | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548408321 | James Stephen Bertie | Family Medicine | 3217 Bayswater Ct, Far Rockaway, NY 11691-1605 | 2009-02-01 |
| 1457432064 | Mordecai Zucker | Family Medicine | 834 Cornaga Ave, Far Rockaway, NY 11691-5315 | 2006-10-18 |
| 1962592709 | Emmanuel Decade | Family Medicine | 228 Beach 20th St, Far Rockaway, NY 11691-3618 | 2006-10-13 |
| 1265476915 | Sawat Losoponkul | Family Medicine | 29-15 Far Rockaway Blvd, Far Rockaway, NY 11691 | 2006-06-15 |
| 1245237098 | Robert Farron | Family Medicine | 2240 Mott Ave, Far Rockaway, NY 11691-3070 | 2005-07-07 |
| 1619476199 | Justin Ha | Family Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2018-02-09 |
| 1649705252 | Muftah Ahmed | Family Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2017-04-21 |
| 1831540632 | Howard Chang | Family Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2016-06-23 |
| 1760843031 | Afsana Alam | Family Medicine | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2016-03-15 |
| 1831585132 | Richard Steward IIi | Family Medicine | 327 Beach 19th St, Far Rockaway, NY 11691 | 2015-04-13 |
| Find all providers in FAR ROCKAWAY | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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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.