NPIMap

Organization Active NPI

St. Joseph Hospital

  • Specialist
  • Bethpage, NY
National Provider Identifier
1881799153
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ST. JOSEPH HOSPITAL
Practice address
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone
(516) 338-5300
Fax
(516) 333-1075
NPI assigned
Sep 13, 2006
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Lorraine Hummel
Title
System Director Physician PT. Acces
Phone
(631) 465-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4295 Hempstead Tpke
Bethpage, NY 11714-5713

Mailing address

4295 Hempstead Tpke
Bethpage, NY 11714-5713

Other names 1

  • New Island Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, NJ, NC, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040323000142 NY Part B Supplier - Clinic/Group Practice 1254222938 Receives reassigned benefits from 284 practitioners
Practice locations: Bethpage, NY
O20250605004072 FL Part B Supplier - Clinic/Group Practice 1254222938 Receives reassigned benefits from 8 practitioners
Practice locations: North Fort Myers, FL; Weston, FL; Vero Beach, FL; Tampa, FL; Stuart, FL; Melbourne, FL; Ellenton, FL
O20250903003903 NJ Part B Supplier - Clinic/Group Practice 1254222938 Receives reassigned benefits from 5 practitioners
Practice locations: Paramus, NJ; Mahwah, NJ; Madison, NJ; Cranbury, NJ; Freehold, NJ
O20251121002772 NC Part B Supplier - Clinic/Group Practice 1254222938 Receives reassigned benefits from 6 practitioners
Practice locations: Durham, NC; Winston Salem, NC; Raleigh, NC; Holly Springs, NC; Concord, NC; Asheville, NC
O20251204000025 PA Part B Supplier - Clinic/Group Practice 1254222938 Receives reassigned benefits from 2 practitioners
Practice locations: Wexford, PA; Latrobe, PA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

2077 Harbor Blvd
Ste 100
Costa Mesa, CA 92627
Phone (949) 740-7117

2280 Harrison Ave
Ste B
Eureka, CA 95501
Phone (707) 443-9371

3200 Walford Ave
Eureka, CA 95503
Phone (707) 443-4869

12665 Garden Grove Blvd
Ste 502
Garden Grove, CA 92843
Phone (714) 534-2222

1010 W La Veta Ave
Ste 101
Orange, CA 92868

1010 W La Veta Ave
Ste 570
Orange, CA 92868
Phone (714) 835-7700

1140 W La Veta Ave
Orange, CA 92868
Phone (714) 744-8724

725 W La Veta Ave
Ste 220
Orange, CA 92868
Phone (714) 771-5700

4250 Hempstead Tpke
Ste 23
Bethpage, NY 11714
Phone (516) 735-8850

4295 Hempstead Tpke
Fl 1
Bethpage, NY 11714

Practitioners & affiliated clinicians

Practitioners 438

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 438

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1881799153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4295 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145713",
            "telephone_number": "516-338-5300",
            "fax_number": "516-333-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR PHYSICIAN PT. ACCES",
        "authorized_official_telephone_number": "631-465-6001"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Island",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.