NPIMap

Organization Active NPI

Long Beach Reach Inc.

  • Community/Behavioral Health Agency
  • Long Beach, NY
National Provider Identifier
1285767608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LONG BEACH REACH INC.
Practice address
2-12 West Park Ave.
Long Beach, NY 11561
Phone
(516) 889-2332
Fax
(516) 889-2399
NPI assigned
Mar 14, 2007
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
Joseph Smith
Title
Director
Phone
(516) 889-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

2-12 West Park Ave.
Long Beach, NY 11561

Mailing address

2-12 West Park Ave.
Suite 200
Long Beach, NY 11561
Phone (516) 889-2332

Other identifiers 1

IdentifierTypeStateIssuer
01764850MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221002106 NY Part B Supplier - Clinic/Group Practice 3779884572 Receives reassigned benefits from 17 practitioners
Practice locations: Long Beach, NY; Port Washington, NY

National Provider Directory

National Provider Directory

Locations

2-12 W Park Ave
Ste 200
Long Beach, NY 11561
Phone (516) 889-2332

185 Merrick Rd
Ste 2D
Lynbrook, NY 11563
Phone (516) 274-7891

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285767608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-12 WEST PARK AVE.",
            "address_2": "SUITE 200",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "516-889-2332",
            "fax_number": "516-889-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-12 WEST PARK AVE.",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "11561",
            "telephone_number": "516-889-2332",
            "fax_number": "516-889-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH REACH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-889-2332"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01764850",
            "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.