NPIMap

Organization Active NPI

South Nassau Communities Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oceanside, NY
National Provider Identifier
1699745984
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
SOUTH NASSAU COMMUNITIES HOSPITAL
Practice address
3618 Oceanside Rd
Oceanside, NY 11572-5942
Phone
(516) 255-8000
Fax
(516) 255-8050
NPI assigned
Jan 26, 2006
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH NASSAU COMMUNITIES HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mr. Richard J. Murphy
Title
President & Ceo
Phone
(516) 632-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X NU Primary

Addresses

Primary practice location

3618 Oceanside Rd
Oceanside, NY 11572-5942

Mailing address

1 Healthy Way
Oceanside, NY 11572-1551
Phone (516) 632-3000

Other identifiers 1

IdentifierTypeStateIssuer
02999631MedicaidNY

Other names 1

  • O/P Renal Dialysis Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210615002313 NY Part A Provider - End-Stage Renal Disease Facility (ESRD) 5092607846 Practice locations: Oceanside, NY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Mount Sinai South Nassau Outpatient Dialysis CenterCCN 333535
Overall star rating
5.0 of 5
Ownership
Non-profit
Certified
May 15, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
18

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Part of
So Nassau Com Hosp ER

Locations

3618 Oceanside Rd
Oceanside, NY 11572
Phone (516) 255-8000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Sinai South NassauOceanside, NY, CCN 330198 Hospital Operational/Managerial Control Jan 29, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1699745984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3000",
            "fax_number": "516-632-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 OCEANSIDE RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725942",
            "telephone_number": "516-255-8000",
            "fax_number": "516-255-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "516-632-3939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02999631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "O/P Renal Dialysis Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.