NPIMap

Organization Active NPI

Hospice of New York, LLC

  • Community Based Hospice Care Agency
  • Long Island City, NY
National Provider Identifier
1013001197
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7003501F Issued in NY
Legal business name
HOSPICE OF NEW YORK, LLC
Practice address
3030 47TH Ave Ste 635
Long Island City, NY 11101-3492
Phone
(718) 472-1999
Fax
(718) 472-5222
NPI assigned
Oct 3, 2006
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Rosen
Title
Administrator/Managing Member
Phone
(718) 472-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7003501F NY Primary

Addresses

Primary practice location

3030 47TH Ave Ste 635
Long Island City, NY 11101-3492

Mailing address

3030 47TH Ave Ste 635
Long Island City, NY 11101-3492
Phone (718) 472-1999

Other identifiers 3

IdentifierTypeStateIssuer
A769951OtherNYOXFORD HP PROVIDER #
017441OtherNYBLUE CROSS PROVIDER #
01792052MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050601000178 NY Part A Provider - Hospice 5193767192 Practice locations: Long Island City, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013001197. Details of each certification follow.

Hospice certification: CCN 331560

Legal name
HOSPICE OF NEW YORK, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 18, 1997
Last certification
Oct 8, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Jun 15, 1995 in NY
Enrollment address
3030 47TH Ave
Ste 635
Long Island City, NY 11101-3492

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice of New York, LLCCCN 331560 · All quality measures
Ownership
For-Profit
Certified
Sep 18, 1997
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3030 47th Ave
Ste 500
Long Island City, NY 11101

3030 47th Ave
Ste 635
Long Island City, NY 11101
Phone (718) 472-1999

4518 Court Sq
Ste 500
Long Island City, NY 11101
Phone (718) 472-1999

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Philip George Decker Individual General Partnership Interest Jul 1, 2014
Michael Phillip Rosen Individual 5% Or Greater Direct Ownership Interest Jul 1, 2014 74.99%
General Partnership Interest Jul 1, 2014 74.99%
Betsy S Vijungco Individual W-2 Managing Employee Mar 5, 2015
Brad Irwin Markowitz Individual 5% Or Greater Direct Ownership Interest Jul 1, 2014 24.5%
General Partnership Interest Jul 1, 2014 24.5%

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 70

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 70

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1013001197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 47TH AVE STE 635",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013492",
            "telephone_number": "718-472-1999",
            "fax_number": "718-472-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 47TH AVE STE 635",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013492",
            "telephone_number": "718-472-1999",
            "fax_number": "718-472-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGING MEMBER",
        "authorized_official_telephone_number": "718-472-1999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NY",
            "license": "7003501F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HP PROVIDER #",
            "identifier": "A769951",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "017441",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01792052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.