NPIMap

Organization Active NPI

Good Samaritan Hospital

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • West Islip, NY
National Provider Identifier
1033401211
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
0160601 Issued in NY
Legal business name
GOOD SAMARITAN HOSPITAL
Practice address
1000 Montauk Highway
West Islip, NY 11795
Phone
(631) 376-3069
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Miss Elizabeth Marion Jaquay, MSOTR/L
Title
Occupational Therapist
Phone
(631) 376-3076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 0160601 NY Primary

Addresses

Primary practice location

1000 Montauk Highway
West Islip, NY 11795

Mailing address

1000 Montauk Highway
West Islip, NY 11795

National Provider Directory

National Provider Directory
Tax ID family
Godd Samaritan Hospital11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1033401211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HIGHWAY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HIGHWAY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-376-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "JAQUAY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "631-376-3076",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSOTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NY",
            "license": "0160601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.