NPIMap

Organization Active NPI

Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Oceanside, NY
National Provider Identifier
1043676158
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HARMONY HEALTH CARE LONG ISLAND
Practice address
3227 Long Beach Rd Ste 2
Oceanside, NY 11572-3651
Phone
(516) 678-0900
Fax
(516) 431-1600
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
David Nemiroff
Title
Executive Director
Phone
(516) 571-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3227 Long Beach Rd Ste 2
Oceanside, NY 11572-3651

Mailing address

1600 Stewart Ave Ste 300
Westbury, NY 11590-6611

Other names 1

  • Long Island FQHC, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111212000065 NY Part B Supplier - Clinic/Group Practice 5991970535 Receives reassigned benefits from 104 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elmont, NY; Freeport, NY; Hempstead, NY; Oceanside, NY; Roosevelt, NY; Westbury, NY
O20180831001046 NY Part A Provider - Federally Qualified Health Center (FQHC) 5991970535 Practice locations: Oceanside, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043676158. Details of each certification follow.

Federally qualified health center certification: CCN 571127

Legal name
HARMONY HEALTH CARE LONG ISLAND
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 2, 2018
Last certification
Oct 2, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 14, 2009 in NY
Enrollment address
3227 Long Beach Rd
Ste 2
Oceanside, NY 11572-3651

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Harmony Health Care Long Island11 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.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICGFBA

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Robert E Detor Individual Corporate OfficerVice Chair of the Board Jul 1, 2018
Corporate DirectorVice Chair of the Board Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
Savitree Pestano Individual W-2 Managing EmployeeChief Financial Officer Mar 1, 2021
Stafford Byers Individual Corporate OfficerFinance Committee Chair Jul 1, 2018
Corporate DirectorFinance Committee Chair Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
Evelyn Lamoureux Individual Corporate Director Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
Gwen O'Shea Individual Corporate Director Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
Frank Piscetelli Individual Corporate OfficerBoard Chair Jul 1, 2018
Corporate DirectorBoard Chair Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
Ann Hickson Individual Corporate OfficerSecretary Jul 1, 2018
Corporate DirectorSecretary Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
Elizabeth Rouse Individual Corporate Director Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
Lori Rung Individual Corporate DirectorDirector Jan 1, 2022
Jessica Sparrow Individual Corporate Director Jul 1, 2018
Operational/Managerial Control Jul 10, 2018
David a Nemiroff Individual Corporate OfficerPresident and Ceo Jan 9, 2017
W-2 Managing EmployeePresident and Ceo Jul 10, 2018
Marianela Casas Individual Corporate DirectorDirector Jan 1, 2022
Stacey Harley Individual Corporate Officer Jan 1, 2016
W-2 Managing EmployeeCoo Jan 1, 2016

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1043676158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 300",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 LONG BEACH RD STE 2",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723651",
            "telephone_number": "516-678-0900",
            "fax_number": "516-431-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HEALTH CARE LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "NEMIROFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-571-8600"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island FQHC, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.