QPH, Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

7643020 Issued in NY

Legal business name

QPH, INC

Doing business as

d/b/a Holliswood Hospital

Practice address

8737 Palermo St
Hollis, NY 11423-1221

Phone

(718) 776-8181

Fax

(718) 776-8551

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Alan Eskenazi, MA, CASAC, CPHQ

Title

Chief Executive Officer

Phone

(718) 776-8181

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• d/b/a Holliswood Hospital Doing business as

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1265473110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 PALERMO ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231221",
            "telephone_number": "718-776-8181",
            "fax_number": "718-776-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 PALERMO ST",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "114231221",
            "telephone_number": "718-776-8181",
            "fax_number": "718-776-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QPH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "ESKENAZI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-776-8181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, CASAC, CPHQ"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "7643020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "004202",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01428197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a Holliswood Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Hospital in Hollis, NY
• Providers in Hollis, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.