NPIMap

Organization Active NPI

Long Island Jewish Medical Center

  • Community/Retail Pharmacy
  • Glen Oaks, NY
National Provider Identifier
1871024455
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
035154 Issued in NY
Legal business name
LONG ISLAND JEWISH MEDICAL CENTER
Practice address
7559 263Rd St
Vivo Health Pharmacy at Zucker Hillside Hospital
Glen Oaks, NY 11004-1150
Phone
(718) 470-5611
Fax
(718) 470-5612
NPI assigned
Mar 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Mrs. Donna Drummond
Title
SVP, Chief Expense Officer
Phone
(718) 470-5611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 035154 NY Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

7559 263Rd St
Vivo Health Pharmacy at Zucker Hillside Hospital
Glen Oaks, NY 11004-1150

Mailing address

1983 Marcus Ave Ste 118
New Hyde Park, NY 11042-1016
Phone (718) 470-5611

Other identifiers 1

IdentifierTypeStateIssuer
2168601OtherPK

Other names 1

  • VIVO HEALTH PHARMACY AT ZUCKER HILLSIDE HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150528000267 NY Part B Supplier - Pharmacy 9739084138 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glen Oaks, NY; New Hyde Park, NY
O20211215001849 NY DME Supplier - Pharmacy 2567375421 Practice locations: Glen Oaks, NY

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Janet C Hoffman19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

999 Jamaica Ave
Brooklyn, NY 11208
Phone (718) 235-1087

40 Elmont Rd
Elmont, NY 11003
Phone (347) 542-5644

821 Bay 25th St
Rm 106
Far Rockaway, NY 11691
Phone (718) 337-9441

15610 Baisley Blvd
Jamaica, NY 11434
Phone (718) 322-4720

1554 Northern Blvd
Fl 3
Manhasset, NY 11030
Phone (516) 472-5800

1554 Northern Blvd
Fl 4
Manhasset, NY 11030
Phone (516) 321-6400

1983 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 326-5600

1983 Marcus Ave
Ste 118
New Hyde Park, NY 11042
Phone (516) 321-5459

10101 Rockaway Blvd
Ozone Park, NY 11417
Phone (516) 853-8898

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1871024455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE 118",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421016",
            "telephone_number": "718-470-5611",
            "fax_number": "718-470-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7559 263RD ST",
            "address_2": "VIVO HEALTH PHARMACY AT ZUCKER HILLSIDE HOSPITAL",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041150",
            "telephone_number": "718-470-5611",
            "fax_number": "718-470-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND JEWISH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "SVP, CHIEF EXPENSE OFFICER",
        "authorized_official_telephone_number": "718-470-5611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035154",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168601",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIVO HEALTH PHARMACY AT ZUCKER HILLSIDE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIVO HEALTH PHARMACY AT ZUCKER HILLSIDE HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Oaks, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.