NPIMap

Organization Active NPI

Long Island College Hospital

  • General Acute Care Hospital
  • Brooklyn, NY
National Provider Identifier
1669695797
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
003327-1 Issued in NY
Legal business name
LONG ISLAND COLLEGE HOSPITAL
Practice address
97 Amity Street
Brooklyn, NY 11201
Phone
(718) 780-4705
Fax
(718) 780-1396
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Vijay John Mani, MD
Title
Chairman, Orthopedics Dept.
Phone
(718) 780-4705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 003327-1 NY Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 003327 1 NY

Addresses

Primary practice location

97 Amity Street
Brooklyn, NY 11201

Mailing address

97 Amity Street
Brooklyn, NY 11201
Phone (718) 780-4705

Other identifiers 1

IdentifierTypeStateIssuer
003327-1OtherNYLICENSE #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1669695797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 AMITY STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-780-4705",
            "fax_number": "718-780-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 AMITY STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-780-4705",
            "fax_number": "718-780-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND COLLEGE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "MANI",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHAIRMAN, ORTHOPEDICS DEPT.",
        "authorized_official_telephone_number": "718-780-4705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "003327-1",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003327 1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "003327-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.