Organization Active NPI

Northwell

  • General Acute Care Hospital
  • New Hyde Park, NY
National Provider Identifier
1376903351
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
240304 Issued in NY
Legal business name
NORTHWELL
Practice address
450 Lakeville Rd
Department of Surgical Oncology
New Hyde Park, NY 11042-1118
Phone
(516) 487-9454
NPI assigned
Mar 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Lauren Leonardo
Title
Practice Admin Manager
Phone
(516) 941-1251

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 240304 NY
General Acute Care Hospital 282N00000X 240304 NY Primary

Addresses

Primary practice location

450 Lakeville Rd
Department of Surgical Oncology
New Hyde Park, NY 11042-1118

Mailing address

450 Lakeville Rd
Department of Surgical Oncology
New Hyde Park, NY 11042-1118
Phone (516) 487-9454

Other identifiers 1

IdentifierTypeStateIssuer
02912843MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1376903351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAKEVILLE RD",
            "address_2": "DEPARTMENT OF SURGICAL ONCOLOGY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421118",
            "telephone_number": "516-487-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAKEVILLE RD",
            "address_2": "DEPARTMENT OF SURGICAL ONCOLOGY",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421118",
            "telephone_number": "516-487-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "LEONARDO",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PRACTICE ADMIN MANAGER",
        "authorized_official_telephone_number": "516-941-1251"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "240304",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "240304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02912843",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.