Long Island Jewish Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7003608 Issued in NY

Legal business name

LONG ISLAND JEWISH MEDICAL CENTER

Doing business as

Long Island Jewish Medical Center Homecare

Practice address

1983 Marcus Ave
New Hyde Park, NY 11042

Phone

(516) 326-6500

Fax

(516) 326-9282

NPI assigned

Feb 7, 2006

Last updated

May 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michele L Cusack

Title

Senior Vice President & Cfo

Phone

(516) 321-6058

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• LONG ISLAND JEWISH MEDICAL CENTER HOMECARE Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• North Shore Long Island Jewish Healthcare Inc.

  dba Island Gynecologic Oncology

  • Gynecologic Oncology Physician
  • Brightwaters, NY
  • NPI 1710345962

  Member Of

  NPD member

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1073585691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422000",
            "telephone_number": "516-326-6500",
            "fax_number": "516-326-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-326-6500",
            "fax_number": "516-326-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND JEWISH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "7003608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243903",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "IC0905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "000223",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0502850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON HEALTHCARE",
            "identifier": "337170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRUCARE",
            "identifier": "99343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "ON05439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG ISLAND JEWISH MEDICAL CENTER HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LONG ISLAND JEWISH MEDICAL CENTER HOMECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Long Island Jewish Faculty Medical Affiliates, University Faculty Prac
• Long Island Jewish Faculty Medical Affiliates, University Faculty Prac
• Long Island Jewish Home Health Agency
• Long Island Jewish Hospital
• Long Island Jewish Medical Center
• Long Island Jewish Medical Center
• Long Island Jewish Medical Center
• Long Island Jewish Medical Center (Steven & Alexandra Cohen Children's Medical Center of New York)
• Long Island Jewish Medical Center (Vivo Health Pharmacy at LIJ)
• Long Island Jewish Medical Center

• Home Health Agency in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.