NPIMap

Organization Active NPI

Elmont Community Health Center

  • Clinic/Center
  • Elmont, NY
National Provider Identifier
1467478362
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2908201R Issued in NY
Legal business name
ELMONT COMMUNITY HEALTH CENTER
Practice address
161 Hempstead Tpke
Elmont, NY 11003-1432
Phone
(516) 571-8200
NPI assigned
Jul 14, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NASSAU HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
Gary Bie
Title
Chief Financial Officer
Phone
(516) 572-6711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2908201R NY Primary

Addresses

Primary practice location

161 Hempstead Tpke
Elmont, NY 11003-1432

Mailing address

161 Hempstead Tpke
Elmont, NY 11003-1432
Phone (516) 571-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040619000043 NY Part B Supplier - Clinic/Group Practice 2961315221 Receives reassigned benefits from 566 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Meadow, NY; Uniondale, NY

Other NPIs on the same Medicare enrollment 26

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 26

National Provider Directory

National Provider Directory
Part of
NCMC CPP

Locations

1 Post Rd
Westbury, NY 11568
Phone (347) 217-0300

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1467478362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 HEMPSTEAD TPKE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031432",
            "telephone_number": "516-571-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HEMPSTEAD TPKE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031432",
            "telephone_number": "516-571-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMONT COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASSAU HEALTHCARE CORPORATION",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "BIE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "516-572-6711"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "2908201R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.