NPIMap

Organization Active NPI

NYU Langone Hospitals

Doing business as NYU Langone Hospital Long Island

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mineola, NY
National Provider Identifier
1083612089
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
2908000H Issued in NY
Legal business name
NYU LANGONE HOSPITALS
Doing business as
NYU Langone Hospital Long Island
Practice address
200 Old Country Road
Mineola, NY 11501
Phone
(516) 663-9012
Fax
(516) 663-9035
NPI assigned
Jul 13, 2005
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NYU LANGONE HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Palmira Cataliotti
Title
SVP & Cfo
Phone
(516) 663-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 2908000H NY Primary

Addresses

Primary practice location

200 Old Country Road
Mineola, NY 11501

Mailing address

200 Old Country Road
Mineola, NY 11501
Phone (516) 663-9012

Other identifiers 1

IdentifierTypeStateIssuer
00244211MedicaidNY

Other names 1

  • NYU Langone Hospital Long Island Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190910003248 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 4981515699 Practice locations: Mineola, NY

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
NYU Winthrop Hospital Dialysis MineolaCCN 332336
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Mar 7, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
31

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
NYU Langone Hospitals64 organizations share this tax ID, including this one
Part of
NYU Langone Hospitals

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

506 6th St
#D
Brooklyn, NY 11215

120 Mineola Blvd
Mineola, NY 11501
Phone (516) 663-4510

120 Mineola Blvd
Ste Ll
Mineola, NY 11501

200 Old Country Rd
Ste 1NE
Mineola, NY 11501

211 Station Rd
Fl 7
Mineola, NY 11501

212 Jericho Tpke
Ste 1
Mineola, NY 11501

Practitioners & affiliated clinicians

Practitioners 10

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1083612089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY ROAD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-663-9012",
            "fax_number": "516-663-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY ROAD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-663-9012",
            "fax_number": "516-663-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU LANGONE HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYU LANGONE HOSPITALS",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "CATALIOTTI",
        "authorized_official_first_name": "PALMIRA",
        "authorized_official_title_or_position": "SVP & CFO",
        "authorized_official_telephone_number": "516-663-2311"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "2908000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244211",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NYU Langone Hospital Long Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.