Long Island Neurocare Therapy PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

LONG ISLAND NEUROCARE THERAPY PLLC

Practice address

1739 N Ocean Ave Ste a
Medford, NY 11763-2683

Phone

(631) 741-1400

Fax

(631) 714-4191

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Richard Pitch, MDNPI 1679661664

Title

Owner

Phone

(631) 714-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Jay Pitch, MD

  • Psychiatry Physician
  • Medford, NY
  • NPI 1679661664
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Rose Chase, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Levittown, NY
  • NPI 1215436886
  Medicare reassignment Care Compare group NPD
• Manpreet K Nijjar

  • Psychiatric/Mental Health Nurse Practitioner
  • Syosset, NY
  • NPI 1134765118
  Medicare reassignment NPD

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1477064855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 N OCEAN AVE STE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632683",
            "telephone_number": "631-741-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N OCEAN AVE STE A",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632683",
            "telephone_number": "631-741-1400",
            "fax_number": "631-714-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Broadhollow Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "117474906",
            "country_code": "US",
            "telephone_number": "631-923-2772",
            "fax_number": "631-923-2778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND NEUROCARE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "PITCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-714-4100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Lisberger, R.N.
• Little Angels Center, Inc
• Wanyu Liu
• Victoria Liuzzi
• Caterin Michelle Loja
• Jonathan Micheal Longano, PCT
• Cynthia Longjohn, MD
• Maria J Lopez Serrano, LPN
• Erica Marie Lopez, RDH
• Michael Lopez

• Psychiatry Physician in Medford, NY
• Providers in Medford, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.