Organization Active NPI

Long Island Pediatric Homecare

  • Home Health Agency
  • Lindenhurst, NY
National Provider Identifier
1689039513
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
705878-1 Issued in NY
Legal business name
LONG ISLAND PEDIATRIC HOMECARE
Practice address
389 Thirty Third Street
Lindenhurst, NY 11757
Phone
(631) 671-5191
NPI assigned
Dec 18, 2015
Last updated
Dec 18, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIBORO HOMECAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Miss Meaghan MacdonaldNPI 1528433810
Title
Nurse
Phone
(631) 671-5191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 705878-1 NY Primary

Addresses

Primary practice location

389 Thirty Third Street
Lindenhurst, NY 11757

Mailing address

389 33Rd St
Lindenhurst, NY 11757-3240

Other identifiers 1

IdentifierTypeStateIssuer
1234567891011121314MedicaidNY

National Provider Directory

National Provider Directory
Part of
Cape Cod Anesthesia Associates

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1689039513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 33RD ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 THIRTY THIRD STREET",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-671-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PEDIATRIC HOMECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIBORO HOMECARE",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "MEAGHAN",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "631-671-5191",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "705878-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1234567891011121314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.