NPIMap

Organization Active NPI

Long Island Jewish Medical Center

Doing business as Steven & Alexandra Cohen Children's Medical Center of New York

  • Children's Hospital
  • New Hyde Park, NY
National Provider Identifier
1174530349
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
7003004H Issued in NY
Legal business name
LONG ISLAND JEWISH MEDICAL CENTER
Doing business as
Steven & Alexandra Cohen Children's Medical Center of New York
Practice address
26901 76TH Ave
New Hyde Park, NY 11040-1433
Phone
(718) 470-3000
NPI assigned
Aug 1, 2006
Last updated
Jul 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Mrs. Michele Lee Cusack
Title
Senior Vice President & Cfo
Phone
(516) 321-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 7003004H NY Primary

Addresses

Primary practice location

26901 76TH Ave
New Hyde Park, NY 11040-1433

Mailing address

972 Brush Hollow Rd FL 5
Westbury, NY 11590-1740
Phone (516) 876-6000

Other practice location 1

270-05 76 Ave
New Hyde Park, NY 11040
Phone (516) 876-6000

Other names 1

  • Steven & Alexandra Cohen Children's Medical Center of New York Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address lijmchospscm@northwell.allscriptsdirect.net Health Information Exchange (HIE)
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark
FHIR URL https://fhir.northwell.edu/FHIR Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110120000005 NY Part A Provider - Hospital 9739084138 Practice locations: New Hyde Park, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174530349. Details of each certification follow.

Hospital certification: CCN 330195004

Legal name
LONG ISLAND JEWISH MEDICAL CENTER
Organization structure
CorporationNon-profit
Incorporated
Oct 20, 1949 in NY
Enrollment address
26901 76TH Ave
New Hyde Park, NY 11040-1433
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Szeibel Peter MD19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Member of 1

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

Locations

10833 Leconte Ave Chs A7047
Los Angeles, CA 90095

2495 Hospital Dr
Mountain View, CA 94040
Phone (650) 404-8210

Ownership & related parties

All disclosed owners & managing parties 54

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

NameRoleSinceShare
William L Mack Individual Corporate Officer Jan 1, 2025
Corporate DirectorVice Chairman - Board of Trustee Apr 23, 2015
Margaret M Crotty Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 2019
Benjamin Tucker Individual Corporate Director Jan 1, 2022
Gary Cohen Individual Corporate Director Jan 1, 2021
Michael Caridi Individual Corporate Director Jan 1, 2019
Northwell, Inc. Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Lois C Schlissel Individual Corporate Director Jan 1, 2024
Emmett Walker Individual Corporate Director Jan 1, 2020
Michael E Feldman Individual Corporate Director Jan 1, 1983
Catherine C Foster Individual Corporate Director Jan 1, 2010
Carolyn Quinn Individual Operational/Managerial ControlPresident Apr 1, 2019
Harry E Gindi Individual Corporate Officer Jan 1, 2025
Lloyd M Goldman Individual Corporate Director Jan 1, 1994
Cary Kravet Individual Corporate Director Jan 1, 2022
Jeffrey a Kraut Individual Corporate Officer Jan 1, 2025
Gregory W Rakow Individual Corporate Director Jan 1, 2025
Robert D Rosenthal Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 1994
Robert R Dyson Individual Corporate Director Jan 1, 2025
Mark L Claster Individual Corporate Officer Jan 1, 2025
Corporate DirectorVoce Chairman Board of Trustees Apr 23, 2015
Brian Lally Individual Corporate Officer Jan 1, 2025
Michael Fisch Individual Corporate Director Jan 1, 2018
Jeffrey Lane Individual Corporate Director Jan 1, 1987
Mark J Solazzo Individual Corporate DirectorExecutive Vice President/Coo Apr 23, 2015
Richard D Goldstein Individual Corporate Officer Jan 1, 2025
Corporate DirectorChairman - Board of Trustees Apr 23, 2015
Northwell Healthcare Inc Organization, Westbury, NY Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Operational/Managerial Control Jan 1, 2015 100%
David L Battinelli Individual Corporate Officer Jan 1, 2025
Anne Roby Individual Corporate Director Jan 1, 2025
Mark Gudis Individual Corporate Director Jan 1, 2025
Alan I Greene Individual Corporate Director Jan 1, 1973
Donald Zucker Individual Corporate Officer Jan 1, 2025
Corporate DirectorSecretary - Board of Trustees Apr 23, 2015
Barry Rubenstein Individual Corporate Officer Jan 1, 2025
Corporate DirectorVice Chairman Apr 23, 2015
Laurie Lederman Individual Corporate Director Jan 1, 2024
Northwell Health Inc Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2015 100%
Saul Katz Individual Corporate Director Jan 1, 1990
Scott Rechler Individual Corporate Director Jan 1, 2020
Roy Zuckerberg Individual Corporate Director Jan 1, 1981
Michael a Epstein Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 2005
Steven V Lant Individual Corporate Director Jan 1, 2026
Mark a. Gloade Individual Corporate Officer Jan 1, 2025
John K D'Angelo Individual Corporate Officer Jan 1, 2025
Donna K Drummond Individual Corporate Officer Jan 1, 2025
Richard Mack Individual Corporate Director Jan 1, 2020
Michael J Dowling Individual Corporate Officer Jan 1, 2025
Corporate DirectorPresident/Ceo Jan 14, 2011
W-2 Managing EmployeePresident/Ceo Jan 14, 2011
Donald Jones Individual Corporate Director Jan 1, 2025
Laurence a Kraemer Individual Corporate Officer Jan 1, 2025
Konstantine Costalas Individual Corporate Officer Jan 1, 2025
Lewis Ranieri Individual Corporate Director Jan 1, 2002
Paul Guenther Individual Corporate Director Jan 1, 2010
Kenneth Taber Individual Corporate Director Jan 1, 2017
Roger a Blumencranz Individual Corporate Director Jan 1, 1994
Ralph a Nappi Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 1971
Michael Smith Individual Corporate Director Jan 1, 2020
Douglas Hammond Individual Corporate Director Jan 1, 2021
Michele L Cusack Individual Corporate OfficerSenior Vice President & Cfo Sep 12, 2017
W-2 Managing EmployeeExecutive Vice President & Cfo Sep 12, 2017

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

Practitioners & affiliated clinicians

Practitioners 210

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.

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1174530349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD FL 5",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740",
            "telephone_number": "516-876-6000",
            "fax_number": "516-876-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26901 76TH AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401433",
            "telephone_number": "718-470-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270-05 76 Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "11040",
            "country_code": "US",
            "telephone_number": "516-876-6000",
            "fax_number": "516-876-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND JEWISH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NY",
            "license": "7003004H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lijmchospscm@northwell.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Long Island Jewish Medical Center-CCMC Medallies direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "26901 76th Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110401433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "Bluemark",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.northwell.edu/FHIR",
            "affiliation": "N",
            "endpointDescription": "Long Island Jewish Medical Center-CCMC FHIR API",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "26901 76th Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110401433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Steven & Alexandra Cohen Children's Medical Center of New York",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steven & Alexandra Cohen Children's Medical Center of New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.