NPIMap

Organization Active NPI

Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
National Provider Identifier
1285641514
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
7003004H Issued in NY
Legal business name
LONG ISLAND JEWISH MEDICAL CENTER
Practice address
270-05 76 Ave
New Hyde Park, NY 11040
Phone
(516) 876-6000
Fax
(516) 876-6600
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 L. Cusack
Title
Senior Vice President & Cfo
Phone
(516) 321-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 7003004H NY Primary

Addresses

Primary practice location

270-05 76 Ave
New Hyde Park, NY 11040

Mailing address

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

Other practice location 1

95-25 Queens Blvd
Rego Park, NY 11374-4510
Phone (347) 906-1003

Other practice location 2

10201 66th Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000

Other identifiers 1

IdentifierTypeStateIssuer
330195OtherNYMEDICARE CCN

Electronic endpoints 6

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050527000160 NY Part A Provider - Hospital 2567375421 Practice locations: Hollis, NY; Jamaica, NY; Manhasset, NY; New Hyde Park, NY; Ozone Park, NY; Rego Park, NY; Valley Stream, NY; West Hempstead, NY…
O20150522000413 NY Part A Provider - Skilled Nursing Facility 2567375421 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valley Stream, NY

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1285641514. Details of each certification follow.

Hospital certification: CCN 330195

Legal name
LONG ISLAND JEWISH MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 20, 2024
Beds
1,025
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 20, 1949 in NY
Enrollment address
27005 76TH Ave
New Hyde Park, NY 11040-1402
Other Hospital Practice Location
Hospital subgroups
General, Psychiatric

Skilled nursing facility certification: CCN 335700

Legal name
LONG ISLAND JEWISH MEDICAL CENTER
Doing business as
NORTH SHORE-LIJ ORZAC CENTER FOR REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 13, 1989
Last certification
May 16, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
NORTHWELL HEALTH
Organization structure
CorporationNon-profit
Incorporated
Oct 20, 1949 in NY
Enrollment address
900 Franklin Ave
Valley Stream, NY 11580-2145
Nursing home name
NORTH SHORE - LIJ ORZAC CENTER FOR REHABILITATION

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Long Island Jewish Medical CenterCCN 330195 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Nursing home

Medicare Care Compare
Listed as
North Shore - LIJ Orzac Center For RehabilitationCCN 335700 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 13, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12091.9 residents per day on average
Penalties (3 years)
1Fines totaling $41,575

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 28

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 DirectorVice Chairman Board of Trustees Apr 23, 2015
Corporate OfficerVice Chairman Jul 1, 2015
Margaret M Crotty Individual Corporate OfficerChair-Elect Jan 1, 2021
Northwell, Inc. Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Harry E Gindi Individual Corporate OfficerAssistant Secretary Jan 1, 2015
Corporate OfficerAssistant Secretary Jan 1, 2021
Richard T Miller Individual Corporate OfficerEvp & Chief Bus Strategy Officer Sep 1, 2017
Jeffrey a Kraut Individual Corporate OfficerEvp Strategy and Analytics Jan 1, 2015
Corporate OfficerEvp Strategy Jan 1, 2021
Robert D Rosenthal Individual Corporate OfficerTreasurer Jan 1, 2021
Mark L Claster Individual Corporate DirectorVice Chairman Board of Trustees Apr 23, 2015
Corporate OfficerChairman of Board of Trustees Jul 1, 2015
Mark J Solazzo Individual Corporate DirectorExecutive VP and Coo Apr 23, 2015
W-2 Managing EmployeeExecutive VP and Coo Apr 23, 2015
Corporate DirectorExec VP and Coo Jul 1, 2015
W-2 Managing Employee Jul 1, 2015
Richard D Goldstein Individual Corporate DirectorChairman Board of Trustees Apr 23, 2015
Corporate OfficerImmediate Past Chairman Jul 1, 2015
Northwell Healthcare Inc Organization, Westbury, NY Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%
Operational/Managerial Control Jan 1, 2017 100%
5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
David L Battinelli Individual Corporate OfficerEvp Physician-in-Chief Jan 1, 2021
Kathleen Gallo Individual Corporate OfficerEvp and Chief Learning Officer Jan 1, 2015
Corporate OfficerEvp and Chief Learning Officer Jan 1, 2021
Donald Zucker Individual Corporate DirectorSecretary Board of Trustees Apr 23, 2015
Corporate OfficerSecretary Jul 1, 2015
Barry Rubenstein Individual Corporate DirectorVice Chairman Board of Trustees Apr 23, 2015
Corporate OfficerVice Chairman Jul 1, 2015
Northwell Health Inc Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2015 100%
Michael a Epstein Individual Corporate OfficerChair, Board of Trustees Jan 1, 2020
Corporate OfficerChair, Board of Trustees Jan 1, 2021
Mark a. Gloade Individual Corporate OfficerSVP Deputy General Counsel Jan 1, 2015
Corporate OfficerSVP Deputy General Counsel Jan 1, 2021
Eugene S Tangney Individual Corporate OfficerSVP Chief Bus Continuity & Crisis Jan 1, 2015
Corporate OfficerSVP Chief Bus Continuity & Crisis Jan 1, 2021
Donna K Drummond Individual Corporate OfficerSVP & Chief Expense Officer Jan 1, 2015
Corporate OfficerSVP & Chief Expense Officer Jan 1, 2021
Joseph S Moscola Individual Corporate OfficerEvp Enterprise Management Jan 1, 2021
Corporate OfficerEvp Enterprise Services Jan 1, 2021
Michael J Dowling Individual Corporate DirectorPresident/Ceo May 27, 2005
W-2 Managing EmployeePresident/Ceo Apr 23, 2015
Operational/Managerial Control May 23, 2005
Corporate DirectorPresident and Ceo Jul 1, 2015
W-2 Managing Employee Jul 1, 2015
Laurence a Kraemer Individual Corporate OfficerSVP & Chief General Counsel Jan 1, 2021
Corporate OfficerEvp & Chief General Counsel Jan 1, 2021
Konstantine Costalas Individual Corporate OfficerSVP Managed Care Jan 1, 2021
Ralph a Nappi Individual Corporate OfficerExecutive Vice Chairman Jan 1, 2015
Corporate OfficerExec Vice Chairman Jul 1, 2015
Michele L Cusack Individual Corporate OfficerSenior Vice President & Cfo Sep 12, 2017
W-2 Managing EmployeeSenior Vice President & Cfo Sep 12, 2017
Corporate OfficerSenior VP & Cfo Sep 12, 2017
W-2 Managing EmployeeSenior VP & Cfo Sep 12, 2017
Christopher Lynch Individual W-2 Managing EmployeeAd; Jan 1, 2000
Arpan Philip Individual W-2 Managing EmployeeMD; Jan 1, 2000

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 511

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 511

Affiliated clinicians 2,418

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,418

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": "1285641514",
    "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": "270-05 76 AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-876-6000",
            "fax_number": "516-876-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95-25 QUEENS BLVD",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113744510",
            "country_code": "US",
            "telephone_number": "347-906-1003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10201 66th Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752029",
            "country_code": "US",
            "telephone_number": "718-830-4000",
            "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": "L.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7003004H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "330195",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.northwell.edu/FHIR",
            "affiliation": "N",
            "endpointDescription": "Long Island Jewish Medical Center FHIR API",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "270-05 76 Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lijmchospscm@northwell.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Long Island Jewish Medical Center Medallies direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "270-05 76 Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lijmchospscm@northwell.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Long Island Jewish Forest Hills Medallies direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10201 66th Rd",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113752029",
            "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": "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 Rehab LLC",
            "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 Forest Hills FHIR API",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10201 66th Rd",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113752029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.