North Shore-Lij Health Plan

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

NORTH SHORE-LIJ HEALTH PLAN

Practice address

145 Community Dr
Great Neck, NY 11021-5502

Phone

(516) 465-8106

NPI assigned

Jun 21, 2013

Organization subpart

Yes

Parent organization

NORTH SHORE-LIJ HEALTH PLAN HOLDING COMPANYAs reported in NPPES

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

Authorized official

Name

Robert Brown

Title

Vice President of Managed Care

Phone

(516) 465-8106

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1619316718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502",
            "telephone_number": "516-465-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE-LIJ HEALTH PLAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH SHORE-LIJ HEALTH PLAN HOLDING COMPANY",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MANAGED CARE",
        "authorized_official_telephone_number": "516-465-8106"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS VENDOR IDENTIFICATION",
            "identifier": "1100089256",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Shore Podiatry, PC
• North Shore Sleep Medicine
• North Shore Surgical Oncology Associates, PC
• North Shore Surgical Specialists, M.D. P.C.
• North Shore Vascular Associates, P.C.
• North Shore-Lij Health System
• North Shore-Lij Medical PC
• North Shore-Lij Medical,PC
• North Shore-Lij Occupational Medicine
• Northeast Medical Practice, PC

• Health Maintenance Organization in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.