Organization Active NPI

Episcopal Health Services Inc

Doing business as St John's Episcopal Hospital

  • Psychiatric Hospital Unit
  • Far Rockaway, NY
National Provider Identifier
1528221959
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
7001024H Issued in NY
Legal business name
EPISCOPAL HEALTH SERVICES INC
Doing business as
St John's Episcopal Hospital
Practice address
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone
(718) 869-7000
Fax
(718) 869-8507
NPI assigned
Jul 7, 2008
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
EPISCOPAL HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Mr. Steven Guido
Title
Cfo - Chief Financial Officer
Phone
(718) 869-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 7001024H NY Primary

Addresses

Primary practice location

327 Beach 19TH St
Far Rockaway, NY 11691-4423

Mailing address

377 Oak St Ste 300
Garden City, NY 11530-6542
Phone (718) 869-8578

Other identifiers 2

IdentifierTypeStateIssuer
00729382MedicaidNY
000085OtherBLUE CROSS

Other names 1

  • ST JOHN'S EPISCOPAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090303000169 NY Part A Provider - Hospital 9931158334 Practice locations: Far Rockaway, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528221959. Details of each certification follow.

Hospital certification: CCN 33S395002

Legal name
EPISCOPAL HEALTH SERVICES INC
Doing business as
CHURCH CHARITY FOUNDATION OF LONG ISLAND
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1852 in NY
Enrollment address
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gerard M Walsh Individual Corporate DirectorBoard Member Mar 1, 2024
Norman Whitmire Individual Corporate DirectorBoard Member Jan 1, 2018
Michelle Davis Individual Corporate DirectorDirector, Patient Billing Jan 19, 2016
W-2 Managing Employee Jan 19, 2016
Maureen Walsh Individual Corporate Director Jul 1, 2024
Daniel a Kasle Individual Corporate OfficerTreasurer Jan 1, 2018
Lawrence C Provenzano Individual Corporate OfficerPresident and Chair Jan 1, 2018
Karen Paige Individual Corporate OfficerCoo - Chief Operating Officer Mar 1, 2024
Donald T Morrish Individual Corporate OfficerCeo - Chief Executive Officer Mar 1, 2024
Grace Flint Individual Corporate Director Jul 10, 2024
Steven J Guido Individual Corporate OfficerChief Financial Officer Jan 1, 2018
Patrick W Guy Individual Corporate OfficerSecretary Jan 1, 2018

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1528221959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 OAK ST STE 300",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115306542",
            "telephone_number": "718-869-8578",
            "fax_number": "718-869-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 BEACH 19TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914423",
            "telephone_number": "718-869-7000",
            "fax_number": "718-869-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPISCOPAL HEALTH SERVICES INC",
        "enumeration_date": "2008-07-07",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "GUIDO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO - CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-869-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "7001024H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00729382",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST JOHN'S EPISCOPAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST JOHN'S EPISCOPAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.