Long Island College Hospital

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

License

7001017H Issued in NY

Legal business name

LONG ISLAND COLLEGE HOSPITAL

Practice address

339 Hicks Street
Brooklyn, NY 11201

Phone

(718) 780-1000

Fax

(212) 256-3595

NPI assigned

Dec 15, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bruno

Title

Sr Vice President

Phone

(212) 523-7140

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Elpidio Jimenez, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • New York, NY
  • NPI 1649279712
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417019217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER STREET",
            "address_2": "ROOM 2329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10038",
            "telephone_number": "212-256-3027",
            "fax_number": "212-256-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HICKS STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-780-1000",
            "fax_number": "212-256-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND COLLEGE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "212-523-7140",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "7001017H",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "7001017H",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "7001017H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000060",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243678",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Island College Hospital
• Long Island College Hospital (Lich Plastic and Reconstruction)
• Long Island College Hospital (LICH Psychiatry Associates)
• Long Island College Hospital
• Long Island College Hospital
• Long Island College Hospital
• Long Island College Hospital
• Long Island College Hospital
• Long Island College Hospital
• Long Island College Hospital

• Rehabilitation Hospital Unit in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Rehabilitation Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.