NPIMap

Organization Active NPI

Long Island Center for Digestive Health LLC

  • Ambulatory Surgical Clinic/Center
  • Uniondale, NY
National Provider Identifier
1184666364
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LONG ISLAND CENTER FOR DIGESTIVE HEALTH LLC
Practice address
106 Charles Lindbergh Blvd
Uniondale, NY 11553-3632
Phone
(516) 794-1868
Fax
(516) 794-1627
NPI assigned
Jun 12, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Sharon M Hohlfeld
Title
Co-Treasurer
Phone
(215) 589-9024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

106 Charles Lindbergh Blvd
Uniondale, NY 11553-3632

Mailing address

2500 York Rd Ste 300
Jamison, PA 18929-1098
Phone (215) 589-9024

Other identifiers 4

IdentifierTypeStateIssuer
71395OtherAAAHC
20404489MedicaidNY
33323OtherNYBCBS NON-PAR
33D1049916OtherCLIA WAIVER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060427000564 NY Part B Supplier - Ambulatory Surgical Center 2567472038 Receives reassigned benefits from 28 practitioners
Practice locations: Uniondale, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Long Island Center for Digestive HealthCCN 33C0001088
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1049916Long Island Center for Digestive Health106 Charles Lindbergh Blvd - Suite 101, Uniondale, NY 11553Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1103 Stewart Ave
Ste 301
Garden City, NY 11530
Phone (516) 243-7775

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1184666364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 YORK RD STE 300",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291098",
            "telephone_number": "215-589-9024",
            "fax_number": "833-705-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CHARLES LINDBERGH BLVD",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533632",
            "telephone_number": "516-794-1868",
            "fax_number": "516-794-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND CENTER FOR DIGESTIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "HOHLFELD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-TREASURER",
        "authorized_official_telephone_number": "215-589-9024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC",
            "identifier": "71395",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20404489",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON-PAR",
            "identifier": "33323",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "33D1049916",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.