South Nassau Communities Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SOUTH NASSAU COMMUNITIES HOSPITAL

Practice address

2277 Grand Ave
Baldwin, NY 11510-3148

Phone

(516) 377-5000

Fax

(516) 377-5050

NPI assigned

Jan 27, 2006

Organization subpart

Yes

Parent organization

SOUTH NASSAU COMMUNITIES HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Richard J. Murphy

Title

President & Ceo

Phone

(516) 632-3939

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LONG TERM HOME HEALTH CARE Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

So Nassau Comm Hosp

All disclosed owners & managing parties 29

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

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1558332601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3000",
            "fax_number": "516-632-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103148",
            "telephone_number": "516-377-5000",
            "fax_number": "516-377-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "516-632-3939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02999622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG TERM HOME HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rajenie Somra
• Yu Ri Song, LAC
• Katherine Sotack, LMSW
• South Baldwin Facilities Management Corp
• South Nassau Communities Hospital
• South Shore Asociation for Independent Living, Inc.
• South Shore Family Medicine,PC
• South Shore Orthodontics, LLC
• Maria J Spinoso
• Gina St. Louis

• Home Health Agency in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.