NPIMap

Organization Active NPI

NYU Langone Hospitals

Doing business as NYU Langone Hospital - Suffolk

  • General Acute Care Hospital
  • Patchogue, NY
National Provider Identifier
1831910355
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NYU LANGONE HOSPITALS
Doing business as
NYU Langone Hospital - Suffolk
Practice address
101 Hospital Rd
Patchogue, NY 11772-4870
Phone
(631) 654-7175
Fax
(631) 654-7664
NPI assigned
Oct 17, 2024
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NYU LANGONE HOSPITALSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Mr. Wesley A Smith
Title
VP Revenue Cycle
Phone
(800) 237-6977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

101 Hospital Rd
Patchogue, NY 11772-4870

Mailing address

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 654-7175

Other names 1

  • NYU Langone Hospital - Suffolk Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251111002365 NY Part A Provider - Hospital 4981515699 1 other NPI on this enrollment
Practice locations: Shirley, NY; Patchogue, NY; Hauppauge, NY; East Patchogue, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831910355. Details of each certification follow.

Hospital certification: CCN 330141

Legal name
NYU LANGONE HOSPITALS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 11, 2024
Beds
306
Ownership / control type
Private (not for profit)
Most recent change of ownership
Mar 1, 2025 (3 total)
Organization structure
CorporationNon-profit
Enrollment address
101 Hospital Rd
Patchogue, NY 11772-4870
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • NYU Langone Hospitals

    dba NYU Langone Hospitals - Suffolk

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Patchogue, NY
    • NPI 1013724061

    O20251111002365

    Same enrollment

Care Compare: Hospital

Medicare Care Compare
Listed as
Long Island Community HospitalCCN 330141 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
NYU Hospital Center64 organizations share this tax ID, including this one
Part of
NYU Hospital Center

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Ownership & related parties

All disclosed owners & managing parties 55

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

NameRoleSinceShare
Annette Johnson Individual Corporate Officer Sep 26, 2011
Roberto a Mignone Individual Corporate Director Aug 1, 2016
Michael Rafferty Individual Corporate Director Sep 9, 2025
Nancy Sanchez Individual Corporate Officer Sep 26, 2011
Jan T Vilcek Individual Corporate Director Aug 1, 2016
Alec Kimmelman Individual Corporate Officer Sep 9, 2025
Daniel Sundheim Individual Corporate Director Aug 1, 2016
Alice M Tisch Individual Corporate Director Jan 1, 2007
William J Constantine Individual Corporate Director Jan 1, 2007
Fritz Francois Individual Corporate Officer Sep 9, 2025
Edgar M Bronfman Individual Corporate Director Jan 1, 2007
Thomas S Murphy Individual Corporate Director Sep 26, 2011
Stephen F Mack Individual Corporate Director Aug 1, 2016
Susan Block Casdin Individual Corporate Director Sep 9, 2025
Thomas J Tisch Individual Corporate Director Jan 1, 2007
Trudy Elbaum Gottesman Individual Corporate Director Sep 9, 2025
Kenneth I Chenault Individual Corporate Director Jan 1, 2007
Chandrika Tandon Individual Corporate Director Sep 9, 2025
Barry F Schwartz Individual Corporate Director Sep 9, 2025
Linda G Mills Individual Corporate Director Sep 9, 2025
Fiona B Druckenmiller Individual Corporate Director Sep 26, 2011
Robert M. Valletta Individual Corporate Director Sep 9, 2025
Mel Karmazin Individual Corporate Director Aug 1, 2016
Grace Y Ko Individual Corporate Officer Aug 1, 2016
Oren Cahlon Individual Corporate Officer Sep 9, 2025
Carla Solomon Individual Corporate Director Jan 1, 2007
Gary Cohn Individual Corporate Director Sep 26, 2011
William R Berkley Individual Corporate Director Sep 26, 2011
Dafna Bar-Sagi Individual Corporate Officer Sep 26, 2011
Joan F Cangiarella Individual Corporate Officer Sep 9, 2025
Thomas K Montag Individual Corporate Director Aug 1, 2016
Casey Box Individual Corporate Director Aug 1, 2016
William J Haugland Individual Corporate Director Sep 9, 2025
Christina Kirby Individual Corporate Director Sep 9, 2025
Bret J. Rudy Individual Corporate Officer Sep 9, 2025
Stephanie Rein Individual Corporate Director Sep 9, 2025
Laurence D Fink Individual Corporate Director Jan 1, 2007
Laura Perlmutter Individual Corporate Director Jan 1, 2007
Elizabeth Golden Individual Corporate Officer Sep 9, 2025
NYU Langone Health System Organization, New York, NY Corporation 5% Or Greater Direct Ownership Interest Apr 1, 2015 100%
Evan R Chesler Individual Corporate Director Sep 9, 2025
Nader Mherabi Individual Corporate Officer Aug 1, 2016
Lori Fink Individual Corporate Director Jan 1, 2007
Joseph J Lhota Individual Corporate Officer Aug 1, 2016
W-2 Managing Employee Feb 1, 2024
Joseph J Greco Individual Corporate Officer Sep 9, 2025
Anthony Welters Individual Corporate Director Sep 26, 2011
Larry a Silverstein Individual Corporate Director Jan 1, 2007
Andrew W Brotman Individual Corporate Officer Sep 26, 2011
Vicki Match Suna Individual Corporate Officer Sep 26, 2011
Kenneth G Langone Individual Corporate Director Jan 1, 2007
David a Katz Individual Corporate Director Sep 9, 2025
Wayne Holman Individual Corporate Director Sep 9, 2025
Issac Perlmutter Individual Corporate Director Sep 9, 2025
Linda Gosden Robinson Individual Corporate Director Jan 1, 2007
Deven Parekh Individual Corporate Director Sep 9, 2025

Owners & managing parties with NPI records 4

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

Affiliated clinicians 916

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

View all 916

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1831910355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724870",
            "telephone_number": "631-654-7175",
            "fax_number": "631-654-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724870",
            "telephone_number": "631-654-7175",
            "fax_number": "631-654-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYU LANGONE HOSPITALS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYU LANGONE HOSPITALS",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "800-237-6977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NYU Langone Hospital - Suffolk",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NYU Langone Hospital - Suffolk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.