NPIMap

Organization Active NPI

The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Island City, NY
National Provider Identifier
1851704530
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
7002289R Issued in NY
Legal business name
THE FLOATING HOSPITAL INC.
Practice address
1029 41St Ave
Long Island City, NY 11101-7346
Phone
(718) 361-6266
Fax
(718) 683-5751
NPI assigned
Jun 10, 2014
Last updated
Nov 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Mr. Sean T Granahan, ESQ.
Title
President/General Counsel
Phone
(718) 784-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 7002289R NY Primary

Addresses

Primary practice location

1029 41St Ave
Long Island City, NY 11101-7346

Mailing address

PO Box 8397
Long Island City, NY 11101-8397
Phone (718) 784-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070515000559 NY Part B Supplier - Voluntary Health/Charity Agency 0547367120 Receives reassigned benefits from 50 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Long Island City, NY; Brooklyn, NY; Bronx, NY; Astoria, NY
O20171117001498 NY Part A Provider - Federally Qualified Health Center (FQHC) 0547367120 Practice locations: Long Island City, NY
O20220322001142 NY Part B Supplier - Clinic/Group Practice 0547367120 Receives reassigned benefits from 5 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Astoria, NY; Bronx, NY; Brooklyn, NY; Long Island City, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851704530. Details of each certification follow.

Federally qualified health center certification: CCN 571841

Legal name
THE FLOATING HOSPITAL INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 17, 2017
Last certification
Nov 17, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 1, 1924 in NY
Enrollment address
1029 41St Ave
Long Island City, NY 11101-7346

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory
Tax ID family
The Floating Hospital Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2101 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

4140 27th St
Long Island City, NY 11101
Phone 7187842240144

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Michael George Individual Corporate OfficerBoard Member, Trustee Apr 28, 2010
Allison Sokaris Individual Corporate OfficerBoard Member, Chair Mar 28, 2012
Edward Prager Individual Corporate OfficerBoard Member, Trustee Jan 25, 2012
Shani Andre Individual Corporate DirectorChief Medical Officer Jul 2, 2007
Regina Jaslow Individual Corporate OfficerBoard Member, Vice Chair & Treasure Nov 20, 2013
Anthony Brownie Individual Corporate OfficerBoard Member, Trustee Jan 28, 2009
Dominick Delorenzo Individual Corporate OfficerBoard Member, Trustee Dec 14, 2016
Khadijah Watkins Individual Corporate OfficerBoard Member, Trustee May 27, 2015
Priscilla Bayley Individual Corporate OfficerBoard Member, Trustee Apr 25, 2013
Sean T Granahan Individual Corporate DirectorPresident/General Counsel Jun 6, 2003
Gloria Carney Individual W-2 Managing EmployeeAssistant Chief Financial Officer Aug 15, 2007
Carol Jackson Individual Corporate OfficerBoard Member, Trustee Dec 16, 2009
S Stiles Nyerere Individual W-2 Managing EmployeeChief Financial Officer Oct 15, 1999
David Kochanowsky Individual Corporate OfficerBoard Member, Trustee Jan 25, 2017

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1851704530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8397",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111018397",
            "telephone_number": "718-784-2240",
            "fax_number": "718-683-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 41ST AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111017346",
            "telephone_number": "718-361-6266",
            "fax_number": "718-683-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FLOATING HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "GRANAHAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/GENERAL COUNSEL",
        "authorized_official_telephone_number": "718-784-2240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "7002289R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.