Northwell Health Laboratories

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NORTHWELL HEALTH LABORATORIES

Practice address

450 Lakeville Rd Ste M50
New Hyde Park, NY 11042-1117

Phone

(516) 719-1000

Fax

(516) 407-6744

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Leslie A Wright

Title

Billing Manager

Phone

(347) 494-8760

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• North Shore LIJ Health System Laboratories Former legal business name
• North Shore LIJ Health System Laboratory Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aldo Alleva, MD

  • Family Medicine Physician
  • Glen Cove, NY
  • NPI 1811337686
  NPD (past)
• Brendan Anthony Berry, RPA-C

  • Physician Assistant
  • Bellerose, NY
  • NPI 1245521707
  NPD (past)
• Shaheer Bhatt, MD

  • Family Medicine Physician
  • Plainview, NY
  • NPI 1669826277
  NPD (past)
• Kevin Burke, PA-C

  • Physician Assistant
  • New Hyde Park, NY
  • NPI 1669802377
  NPD (past)
• Hannah Margaret Chatfield, PA

  • Physician Assistant
  • Rockville Centre, NY
  • NPI 1730439472
  NPD (past)
• Laurie J. Costello, MD

  • Family Medicine Physician
  • Huntington Station, NY
  • NPI 1376540435
  NPD (past)
• Venee Nicole Cunningham, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1639340706
  NPD (past)
• Gerard Francois Jr., P.A.

  • Physician Assistant
  • New York, NY
  • NPI 1225386964
  NPD (past)
• Patricia Wong Hermogenes, M.D.

  • Family Medicine Physician
  • Jamaica, NY
  • NPI 1023174596
  NPD (past)
• Robert S Korn, MD

  • Emergency Medicine Physician
  • Bay Shore, NY
  • NPI 1447202213
  NPD (past)
• Shun Yan Leung

  • Hospitalist Physician
  • Bay Shore, NY
  • NPI 1891445250
  NPD (past)
• Xian Li, MD

  • Hospitalist Physician
  • Glen Cove, NY
  • NPI 1396092854
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1366543795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 104",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481220",
            "telephone_number": "516-407-6665",
            "fax_number": "516-407-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAKEVILLE RD STE M50",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421117",
            "telephone_number": "516-719-1000",
            "fax_number": "516-407-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5925 Little Neck Pkwy",
            "address_purpose": "LOCATION",
            "city": "Little Neck",
            "state": "NY",
            "postal_code": "113622531",
            "country_code": "US",
            "telephone_number": "516-719-1000",
            "fax_number": "516-407-6744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWELL HEALTH LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "347-494-8760"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01960907",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D0653792",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LITTLE NECK PRKWY CLIA NUMBER",
            "identifier": "33D2149088",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Shore LIJ Health System Laboratories",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "North Shore LIJ Health System Laboratories",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "North Shore LIJ Health System Laboratory",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Northern Obstetrics & Gynecology, PC
• George H Northrup, PH.D.
• Northshore/Lij Health System
• Northwell
• Northwell Dermatology
• Northwell Long Island Jewish Hospital
• Albert Nosrati, MD
• Julianna Noto, PA-C
• Parastou Nouri
• Melody Nourmand

• Clinical Medical Laboratory in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.