South Nassau Communities Hospital

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

SOUTH NASSAU COMMUNITIES HOSPITAL

Practice address

1 Healthy Way
Oceanside, NY 11572-1551

Phone

(516) 632-3000

Fax

(516) 632-3499

NPI assigned

Jan 27, 2006

Organization subpart

Yes

Parent organization

SOUTH NASSAU COMMUNITIES HOSPITALAs reported in NPPES

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

Addresses

Other identifiers 1

Other names 1

• I/P PSYCH Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Hospital certification: CCN 33S198

Legal name

SOUTH NASSAU COMMUNITIES HOSPITAL

Doing business as

MOUNT SINAI SOUTH NASSAU

Organization structure

CorporationNon-profit

Incorporated

Jan 1, 1985 in NY

Enrollment address

1 Healthy Way
Oceanside, NY 11572-1551
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric unit

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• South Nassau Communities Hospital

  • General Acute Care Hospital
  • Oceanside, NY
  • NPI 1922079094

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 5

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

• South Nassau Communities Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oceanside, NY
  • NPI 1245201300

  5092607846

  Same PAC ID
• South Nassau Communities Hospital

  • Professional Counselor
  • Oceanside, NY
  • NPI 1356322101

  5092607846

  Same PAC ID
• South Nassau Communities Hospital

  • Skilled Nursing Facility
  • Oceanside, NY
  • NPI 1548676943

  5092607846

  Same PAC ID
• South Nassau Communities Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Oceanside, NY
  • NPI 1699745984

  5092607846

  Same PAC ID
• South Nassau Communities Hospital

  • General Acute Care Hospital
  • Oceanside, NY
  • NPI 1922079094

  5092607846

  Same PAC ID

Part of

So Nassau Comm Hosp

Locations

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Alan Wong

  • Critical Care Medicine (Internal Medicine) Physician
  • Mineola, NY
  • NPI 1407091242

  Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• South Nassau Communities Hospital

  • General Acute Care Hospital
  • Oceanside, NY
  • NPI 1922079094

  Operational/Managerial Control

  CMS ownership

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Loveleen Anand, M.D.

  • Student in an Organized Health Care Education/Training Program
  • East Meadow, NY
  • NPI 1548657109
  NPD (past)
• Cesar Florita, M.D.

  • Geriatric Psychiatry Physician
  • Oceanside, NY
  • NPI 1023116704
  NPD (past)
• Shamaila Idrees, M.D.

  • Psychiatry Physician
  • East Meadow, NY
  • NPI 1003235839
  NPD (past)
• Deborah Anne Louis, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oceanside, NY
  • NPI 1326799743
  NPD (past)
• Nnamdi Emmanuel Odiah, MD

  • Psychiatry Physician
  • East Meadow, NY
  • NPI 1083912158
  NPD (past)
• Melissa Beth Weiss, M.D.

  • Psychiatry Physician
  • Stony Brook, NY
  • NPI 1972998862
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1811968993",
    "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": "1 HEALTHY WAY",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721551",
            "telephone_number": "516-632-3000",
            "fax_number": "516-632-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH NASSAU COMMUNITIES HOSPITAL",
        "enumeration_date": "2006-01-27",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02999640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I/P PSYCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Nassau Communities Hospital
• South Nassau Communities Hospital-Surgical Oncology
• South Nassau Dermatology P.C.
• South Nassau Family Medicine PC
• South Nassau Neonatal Services, PC

• All providers in Oceanside, NY
• Psychiatric Hospital Unit in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.