NPIMap

Organization Active NPI

Glen Cove Hospital

  • General Acute Care Hospital
  • Glen Cove, NY
National Provider Identifier
1295743060
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GLEN COVE HOSPITAL
Doing business as
Glen Cove Hospital
Practice address
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone
(516) 674-7300
NPI assigned
Aug 4, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Mrs. Michele Lee Cusack
Title
Senior VP & Cfo
Phone
(516) 321-6058

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary
Pharmacy 333600000X 003232 NY
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

101 Saint Andrews LN
Glen Cove, NY 11542-2254

Mailing address

972 Brush Hollow Rd
5TH Floor Fiance Attn William J Fuchs
Westbury, NY 11590-1740
Phone (516) 876-6065

Other identifiers 1

IdentifierTypeStateIssuer
2158313OtherPK

Other names 1

  • Glen Cove Hospital Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.northwell.edu/FHIR Health Information Exchange (HIE)
Direct Messaging Address gchospscm@northwell.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060510000039 NY Part A Provider - Hospital 7315970811 Practice locations: Glen Cove, NY; Glen Head, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295743060. Details of each certification follow.

Hospital certification: CCN 330181

Legal name
GLEN COVE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 28, 2023
Beds
247
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 6, 1921 in NY
Enrollment address
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Main/Primary Hospital Location
Hospital subgroups
General

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Northwell Hospital Glen CoveCCN 330181 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

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

Interoperability endpoints

  • Direct secure messaging: gchospscm@northwell.allscriptsdirect.net

Ownership & related parties

All disclosed owners & managing parties 11

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 Jan 17, 2012
Northwell, Inc. Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2024 100%
Mark L Claster Individual Corporate DirectorVice Chairman-Board of Trustees Jan 17, 2012
Mark J Solazzo Individual Corporate DirectorExecutive Vice President/Coo Jan 17, 2012
W-2 Managing EmployeeExecutive Vice President/Coo Jan 17, 2012
Richard D Goldstein Individual Corporate DirectorChairman-Board of Trustees Jan 17, 2012
Northwell Healthcare Inc Organization, Westbury, NY Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Donald Zucker Individual Corporate DirectorSecretary-Board of Trustees Jan 17, 2012
Barry Rubenstein Individual Corporate DirectorVice Chairman-Board of Trustees Jan 17, 2012
Northwell Health Inc Organization, Westbury, NY Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2015 100%
Michael J Dowling Individual Corporate OfficerPresident/Ceo Jan 17, 2012
W-2 Managing EmployeePresident/Ceo Jan 17, 2012
Michele L Cusack Individual Corporate OfficerSenior Vice President & Cfo Sep 12, 2017
W-2 Managing EmployeeSenior Vice President & Cfo Sep 12, 2017

Owners & managing parties with NPI records 1

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 23

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 23

Affiliated clinicians 491

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

View all 491

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1295743060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD",
            "address_2": "5TH FLOOR FIANCE ATTN WILLIAM J FUCHS",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740",
            "telephone_number": "516-876-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAINT ANDREWS LN",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422254",
            "telephone_number": "516-674-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN COVE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "003232",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158313",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.northwell.edu/FHIR",
            "affiliation": "N",
            "endpointDescription": "Glen Cove Hospital FHIR API",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Saint Andrews Ln",
            "city": "Glen Cove",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115422254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gchospscm@northwell.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Glen Cove Hospital MedAllies Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "101 Saint Andrews Ln",
            "city": "Glen Cove",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115422254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Glen Cove Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.