NPIMap

Organization Active NPI

Long Beach Medical Center

  • General Acute Care Hospital
  • Long Beach, NY
National Provider Identifier
1255354221
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LONG BEACH MEDICAL CENTER
Practice address
455 E Bay Dr
Long Beach, NY 11561-2301
Phone
(516) 897-1065
Fax
(516) 897-1064
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barry Stern
Title
Chief Financial Officer
Phone
(516) 897-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NY Primary

Addresses

Primary practice location

455 E Bay Dr
Long Beach, NY 11561-2301

Mailing address

455 E Bay Dr
Long Beach, NY 11561-2301
Phone (516) 897-1065

Other identifiers 2

IdentifierTypeStateIssuer
000185OtherBLUE CROSS
00245487MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255354221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301",
            "telephone_number": "516-897-1065",
            "fax_number": "516-897-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301",
            "telephone_number": "516-897-1065",
            "fax_number": "516-897-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "516-897-1212"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000185",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.