Organization Active NPI

Long Island Jewish Faculty Medical Affiliates, University Faculty Prac

  • Internal Medicine Physician
  • Roslyn, NY
National Provider Identifier
1093657751
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LONG ISLAND JEWISH FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRAC
Practice address
100 Port Washington Blvd
Roslyn, NY 11576-1347
Phone
(516) 608-6820
Fax
(516) 562-3675
NPI assigned
Apr 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Sharlene Bronstorph
Title
Director
Phone
(516) 850-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

100 Port Washington Blvd
Roslyn, NY 11576-1347

Mailing address

850 Hicksville Rd Ste 104
Seaford, NY 11783-1300
Phone (516) 541-2233

Other practice location 1

9 Brooksite Dr
Smithtown, NY 11787-3400
Phone (631) 439-8300

Other practice location 2

850 N Broadway
Massapequa, NY 11758-2337
Phone (516) 541-2233

Other practice location 3

475 Main St Ste 1A
Farmingdale, NY 11735-3570
Phone (516) 753-1155

Other practice location 4

4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 798-0141

Other practice location 5

4072 Hempstead Tpke
Bethpage, NY 11714-5604
Phone (516) 541-2233

Other practice location 6

301 E Main St
Bay Shore, NY 11706-8408
Phone (631) 894-5227

Other practice location 7

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100

Other practice location 8

2857 Jerusalem Ave
Wantagh, NY 11793-2018
Phone (516) 785-2783

Other practice location 9

259 1st St
Mineola, NY 11501-3957
Phone (516) 798-0141

Other practice location 10

205 S Ocean Ave
Patchogue, NY 11772-3700
Phone (631) 815-3350

Other practice location 11

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4444

Other practice location 12

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000

National Provider Directory

National Provider Directory
Tax ID family
Long Island Jewish Faculty Medical Affiliates University Faculty Prac3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member of 1

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

Locations

4072 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 541-2233

475 Main St
Ste 1A
Farmingdale, NY 11735
Phone (516) 753-1155

850 N Broadway
Massapequa, NY 11758
Phone (516) 541-2233

2857 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 285-2783

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1093657751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HICKSVILLE RD STE 104",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831300",
            "telephone_number": "516-541-2233",
            "fax_number": "516-541-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-608-6820",
            "fax_number": "516-562-3675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Brooksite Dr",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873400",
            "country_code": "US",
            "telephone_number": "631-439-8300",
            "fax_number": "631-439-8301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 N Broadway",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117582337",
            "country_code": "US",
            "telephone_number": "516-541-2233",
            "fax_number": "516-541-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Main St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117353570",
            "country_code": "US",
            "telephone_number": "516-753-1155",
            "fax_number": "516-753-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4295 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117145713",
            "country_code": "US",
            "telephone_number": "516-798-0141",
            "fax_number": "516-798-0694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4072 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117145604",
            "country_code": "US",
            "telephone_number": "516-541-2233",
            "fax_number": "516-541-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068408",
            "country_code": "US",
            "telephone_number": "631-894-5227",
            "fax_number": "631-894-5230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303816",
            "country_code": "US",
            "telephone_number": "516-562-0100",
            "fax_number": "516-541-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2857 Jerusalem Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117932018",
            "country_code": "US",
            "telephone_number": "516-785-2783",
            "fax_number": "516-785-2784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 1st St",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115013957",
            "country_code": "US",
            "telephone_number": "516-798-0141",
            "fax_number": "516-798-0698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Ocean Ave",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723700",
            "country_code": "US",
            "telephone_number": "631-815-3350",
            "fax_number": "631-815-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954927",
            "country_code": "US",
            "telephone_number": "631-376-4444",
            "fax_number": "631-591-7401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Old Country Rd",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034914",
            "country_code": "US",
            "telephone_number": "516-719-3000",
            "fax_number": "516-719-3087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND JEWISH FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "BRONSTORPH",
        "authorized_official_first_name": "SHARLENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-850-3999"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.