NPIMap

Organization Active NPI

Episcopal Health Services Inc

Doing business as St. John's Episcopal Hospital, South Shore

  • Community/Behavioral Health Agency
  • Rockaway Park, NY
National Provider Identifier
1417245226
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EPISCOPAL HEALTH SERVICES INC
Doing business as
St. John's Episcopal Hospital, South Shore
Practice address
230 Beach 102ND St
Suite 5B
Rockaway Park, NY 11694-2861
Phone
(718) 474-2070
NPI assigned
Jul 13, 2011
Last updated
Oct 21, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
EPISOCPAL HEALTH SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Mr. Cherian Palathra
Title
Corporate Controll
Phone
(516) 349-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

230 Beach 102ND St
Suite 5B
Rockaway Park, NY 11694-2861

Mailing address

700 Hicksville Rd
Suite 210
Bethpage, NY 11714-3471
Phone (516) 349-5227

Other identifiers 1

IdentifierTypeStateIssuer
02237718MedicaidNY

Other names 1

  • St. John's Episcopal Hospital, South Shore Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Johns Epis -Smithtow8 organizations share this tax ID, including this one
Part of
St Johns Epis -Smithtow

Other organizations with this tax ID 7

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

Locations

700 Hicksville Rd
Ste 210
Bethpage, NY 11714

230 Beach 102nd St
Ste 5B
Rockaway Park, NY 11694
Phone (718) 474-2070

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1417245226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HICKSVILLE RD",
            "address_2": "SUITE 210",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143471",
            "telephone_number": "516-349-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEACH 102ND ST",
            "address_2": "SUITE 5B",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942861",
            "telephone_number": "718-474-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPISOCPAL HEALTH SERVICES INC.",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "PALATHRA",
        "authorized_official_first_name": "CHERIAN",
        "authorized_official_title_or_position": "CORPORATE CONTROLL",
        "authorized_official_telephone_number": "516-349-5227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02237718",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. John's Episcopal Hospital, South Shore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.