Active NPI
Long Island College Hospital
- Psychiatric Hospital Unit
- Brooklyn, NY
National Provider Identifier
1710122627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 700101H
- Legal business name
- LONG ISLAND COLLEGE HOSPITAL
- Practice address
- 339 Hicks St
Brooklyn, NY 11201-5509 - Phone
- (212) 256-3027
- Fax
- (212) 256-3595
- NPI assigned
- Dec 5, 2008
- Organization subpart
- Yes
- Parent organization
- LONG ISLAND COLLEGE HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Bruno
- Title
- Senior Vice President
- Phone
- (212) 256-3027
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 700101H | NY | Primary |
Addresses
Primary practice location
339 Hicks St
Brooklyn, NY 11201-5509
Mailing address
160 Water St
Suite 2329
New York, NY 10038-4922
Phone (212) 256-3027
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000060 | Other | NY | BLUE C ROSS |
| 00243678 | Medicaid | NY |
Other names 1
- Rehab Unit
National Provider Directory
National Provider Directory- Part of
- Long Isl Coll Hosp-Path
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1710122627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 WATER ST",
"address_2": "SUITE 2329",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384922",
"telephone_number": "212-256-3027",
"fax_number": "212-256-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 HICKS ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015509",
"telephone_number": "212-256-3027",
"fax_number": "212-256-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND COLLEGE HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LONG ISLAND COLLEGE HOSPITAL",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "BRUNO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
"authorized_official_telephone_number": "212-256-3027",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NY",
"license": "700101H",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE C ROSS",
"identifier": "000060",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00243678",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rehab Unit",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Brooklyn, NY
- Long Island College Hospital
- Long Island College Hospital
- Long Island College Hospital
- Long Island College Hospital
- Long Island College Hospital
- Long Island College Hospital
- Long Island College Hospital
- Long Island College Hospital (Emergency physicians at LICH)
- Long Island College Hospital
- Long Island College Hospital Urology Associates at Lich
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.