Organization Active NPI

Long Beach Medical Center

  • General Acute Care Hospital
  • Long Beach, NY
National Provider Identifier
1366788390
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LONG BEACH MEDICAL CENTER
Practice address
455 E Bay Dr
Long Beach, NY 11561-2301
Phone
(516) 897-1000
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Dr. Evis Baftjari, D. ONPI 1659798825
Title
Resident
Phone
(516) 897-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

455 E Bay Dr
Long Beach, NY 11561-2301

Mailing address

571 Laurelton Blvd
Long Beach, NY 11561-1837
Phone (646) 251-8633

National Provider Directory

National Provider Directory
Tax ID family
Long Beach Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1366788390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 LAURELTON BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611837",
            "telephone_number": "646-251-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301",
            "telephone_number": "516-897-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "BAFTJARI",
        "authorized_official_first_name": "EVIS",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "516-897-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.