Good Samaritan Hospital

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GOOD SAMARITAN HOSPITAL

Practice address

255 Lafayette Ave
Suffern, NY 10901-4812

Phone

(845) 368-5000

Fax

(845) 987-2348

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Schneiders

Title

Evp

Phone

(845) 368-5303

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Weiss Renal Other name

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1609954742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-5000",
            "fax_number": "845-987-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 LAFAYETTE AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014812",
            "telephone_number": "845-368-5000",
            "fax_number": "845-987-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "845-368-5303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000153",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00273941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weiss Renal",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Malka Glucksman, LCSW
• Alyssa Randi Gold, OTR/L
• Fred Goldberg, D.P.M.
• Jocelyn Goldstein, R.D, MS
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital
• Good Samaritan Hospital of Suffern
• Barbara Gordon-Cohen, DO
• Kerryann Gough, RN

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Suffern, NY
• Providers in Suffern, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.