NPIMap

Organization Active NPI

New York State Hospital (Omh)

  • Psychiatric Hospital
  • Staten Island, NY
National Provider Identifier
1467600502
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
240899 Issued in NY
Legal business name
NEW YORK STATE HOSPITAL (OMH)
Practice address
618 Elbe Avenue
Staten Island, NY 10304
Phone
(718) 360-7173
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Haizhu Pearl Liu
Title
Psychiatrist
Phone
(718) 360-7173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 240899 NY Primary

Addresses

Primary practice location

618 Elbe Avenue
Staten Island, NY 10304

Mailing address

618 Elbe Ave
Staten Island, NY 10304-3413

National Provider Directory

National Provider Directory
Tax ID family
Nys Off MNTL HLTH-CPTL Di147 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1467600502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 ELBE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 ELBE AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-360-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK STATE HOSPITAL (OMH)",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "HAIZHU",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "718-360-7173"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "240899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.