NPIMap

Organization Active NPI

Long Island Psychiatric Services P.C.

  • Psychiatry Physician
  • Baldwin, NY
National Provider Identifier
1821305368
Registry record updated Sep 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
241998 Issued in NY
Legal business name
LONG ISLAND PSYCHIATRIC SERVICES P.C.
Practice address
2280 Grand Ave
Suite 207a
Baldwin, NY 11510-3164
Phone
(516) 442-5151
Fax
(516) 442-5152
NPI assigned
Sep 3, 2010
Last updated
Sep 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2010

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

Authorized official

Name
Martha R Alzamora, MD
Title
Medical Director
Phone
(516) 512-2952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 241998 NY Primary

Addresses

Primary practice location

2280 Grand Ave
Suite 207a
Baldwin, NY 11510-3164

Mailing address

2280 Grand Ave
Suite 207a
Baldwin, NY 11510-3164
Phone (516) 442-5151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110324000069 NY Part B Supplier - Clinic/Group Practice 8820271125 Receives reassigned benefits from 7 practitioners
Practice locations: Merrick, NY

National Provider Directory

National Provider Directory

Locations

2280 Grand Ave
Ste 207A
Baldwin, NY 11510
Phone (516) 442-5151

Practitioners & affiliated clinicians

Practitioners 8

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": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284768000000",
    "number": "1821305368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE",
            "address_2": "SUITE 207A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103164",
            "telephone_number": "516-442-5151",
            "fax_number": "516-442-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 GRAND AVE",
            "address_2": "SUITE 207A",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103164",
            "telephone_number": "516-442-5151",
            "fax_number": "516-442-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PSYCHIATRIC SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-18",
        "status": "A",
        "authorized_official_last_name": "ALZAMORA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-512-2952",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "241998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.