Organization Active NPI

Eastern Long Island Hospital Assoc Inc

  • Specialist
  • Greenport, NY
National Provider Identifier
1609002146
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EASTERN LONG ISLAND HOSPITAL ASSOC INC
Practice address
201 Manor PL
Greenport, NY 11944-1222
Phone
(631) 477-5100
NPI assigned
Jun 10, 2009
Organization subpart
Yes
Parent organization
EASTERN LONG ISLAND HOSPITAL ASSOC INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Authorized official

Name
Kathryn B Reich
Title
Director Revenue Cycle
Phone
(631) 477-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

201 Manor PL
Greenport, NY 11944-1222

Mailing address

201 Manor PL
Crna Services
Greenport, NY 11944-1222
Phone (631) 477-1000

Other names 1

  • CRNA Services Other name

National Provider Directory

National Provider Directory
Part of
Eastern L I Hosp-Patholog

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507852800000",
    "number": "1609002146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MANOR PL",
            "address_2": "CRNA SERVICES",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441222",
            "telephone_number": "631-477-1000",
            "fax_number": "631-477-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MANOR PL",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441222",
            "telephone_number": "631-477-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN LONG ISLAND HOSPITAL ASSOC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTERN LONG ISLAND HOSPITAL  ASSOC INC",
        "enumeration_date": "2009-06-10",
        "last_updated": "2017-10-13",
        "status": "A",
        "authorized_official_last_name": "REICH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "631-477-5711"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRNA Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.