NPIMap

Organization Active NPI

South Nassau Communities Hospital

  • Professional Counselor
  • Oceanside, NY
National Provider Identifier
1356322101
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUTH NASSAU COMMUNITIES HOSPITAL
Practice address
One Healthy Way
Attn: Physician Billing
Oceanside, NY 11572
Phone
(516) 255-1600
NPI assigned
Nov 9, 2005
Last updated
Oct 26, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH NASSAU COMMUNITIES HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Mr. Alex Balko
Title
Vice President - Finance
Phone
(516) 632-3965

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

One Healthy Way
Attn: Physician Billing
Oceanside, NY 11572

Mailing address

One Healthy Way
Attn: Physician Billing
Oceanside, NY 11572
Phone (516) 255-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000373 NY Part B Supplier - Clinic/Group Practice 5092607846 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
Practice locations: Hempstead, NY; Long Beach, NY; Merrick, NY; Oceanside, NY; Rockville Centre, NY; Valley Stream, NY; Baldwin, NY

Other NPIs with the same Medicare PAC ID 5

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.

National Provider Directory

National Provider Directory
Tax ID family
No Nassau Comm Hosp3 organizations share this tax ID, including this one
Part of
No Nassau Comm Hosp

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

33 N Ocean Ave
Freeport, NY 11520
Phone (516) 378-4949

1420 Broadway
Fl 1
Hewlett, NY 11557

1000 S Oyster Bay Rd
#2
Hicksville, NY 11801
Phone (516) 377-5000

325 E Bay Dr
Long Beach, NY 11561
Phone (516) 255-1600

196 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-1616

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Sinai South NassauOceanside, NY, CCN 330198 Hospital Operational/Managerial Control Jan 29, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1356322101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HEALTHY WAY",
            "address_2": "ATTN: PHYSICIAN BILLING",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "11572",
            "telephone_number": "516-255-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HEALTHY WAY",
            "address_2": "ATTN: PHYSICIAN BILLING",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "11572",
            "telephone_number": "516-255-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "enumeration_date": "2005-11-09",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "BALKO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "VICE PRESIDENT - FINANCE",
        "authorized_official_telephone_number": "516-632-3965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.