The Long Island Home

A Medicare group practice based in Amityville, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8224055108), with 126 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8224055108The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Hospital Department(S)
Enrolled in
NY
Enrollments
2
Group size
22 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20051031000242 NY Part A Provider - Hospital 1568459204
O20110411000230 NY Part B Supplier - Hospital Department(S) 1821394016

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 126

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (126) or whom Care Compare lists as members (22).

Sources for this page