NPIMap

Organization Active NPI

Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Freeport, NY
National Provider Identifier
1881028108
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
2908201R Issued in NY
Legal business name
HARMONY HEALTH CARE LONG ISLAND
Practice address
101 S Bergen PL
Freeport, NY 11520-3528
Phone
(516) 623-3600
NPI assigned
Aug 22, 2013
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
David Nemiroff
Title
Executive Director
Phone
(516) 572-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 2908201R NY Primary

Addresses

Primary practice location

101 S Bergen PL
Freeport, NY 11520-3528

Mailing address

1600 Stewart Ave Ste 300
Westbury, NY 11590-6611

Other names 1

  • Long Island FQHC, Inc. Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111212000065 NY Part B Supplier - Clinic/Group Practice 5991970535 Receives reassigned benefits from 104 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elmont, NY; Freeport, NY; Hempstead, NY; Oceanside, NY; Roosevelt, NY; Westbury, NY
O20131004000512 NY Part A Provider - Federally Qualified Health Center (FQHC) 5991970535 Practice locations: Freeport, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881028108. Details of each certification follow.

Federally qualified health center certification: CCN 331079

Legal name
HARMONY HEALTH CARE LONG ISLAND
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 11, 2013
Last certification
Oct 11, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 24, 2009 in NY
Enrollment address
101S Bergen PL
Freeport, NY 11520-3528

Other NPIs with the same Medicare PAC ID 9

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

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory

Locations

161 Hempstead Tpke
Elmont, NY 11003
Phone (516) 571-8200

380 Nassau Rd
Ste 300
Roosevelt, NY 11575

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Savitree Pestano Individual W-2 Managing EmployeeChief Financial Officer Jul 19, 2021
Stafford Byers Individual Corporate OfficerBoard Finance Committee Chair Jul 1, 2018
Corporate DirectorBoard Finance Committee Chair Jul 1, 2018
Evelyn Lamoureux Individual Corporate OfficerBoard Member Jul 1, 2008
Gwen O'Shea Individual Corporate OfficerBoard Member Jul 1, 2008
Frank Piscetelli Individual Corporate DirectorBoard Chair Jul 1, 2018
Ann Hickson Individual Corporate DirectorBoard Secretary Jul 1, 2018
Elizabeth Rouse Individual Corporate OfficerBoard Member Jul 1, 2008
Lori Rung Individual Corporate DirectorDirector Board Member Jan 1, 2017
Jessica Sparrow Individual Corporate OfficerBoard Member Jul 1, 2008
David a Nemiroff Individual Corporate OfficerPresident and Ceo Jan 9, 2017
W-2 Managing EmployeePresident / Ceo Jan 9, 2017
Marianela Casas Individual Corporate DirectorDirector Board Member Jan 1, 2022
Stacey Harley Individual W-2 Managing EmployeeChief Operating Officer Jan 1, 2017

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1881028108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE STE 300",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BERGEN PL",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203528",
            "telephone_number": "516-623-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HEALTH CARE LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "NEMIROFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-572-0086"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "2908201R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island FQHC, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.