NPIMap

Organization Active NPI

Good Samaritan Hospital Medical Center

  • General Acute Care Hospital
  • West Islip, NY
National Provider Identifier
1902865355
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Practice address
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone
(631) 376-3000
NPI assigned
Mar 22, 2006
Last updated
May 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Justin Lundbye
Title
President
Phone
(631) 376-4186

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Hearing and Speech Clinic/Center 261QH0700X
General Acute Care Hospital 282N00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Mailing address

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-3000

Other identifiers 2

IdentifierTypeStateIssuer
03000337MedicaidNY
000384OtherNYBLUE CROSS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031124000491 NY Part B Supplier - Clinic/Group Practice 5294639951 Receives reassigned benefits from 517 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Islip, NY; Smithtown, NY; Sayville, NY; Port Jefferson, NY; Bay Shore, NY
O20090326000279 NY Part A Provider - Hospital 5294639951 Practice locations: Bay Shore, NY; West Islip, NY; Hauppauge, NY; East Islip, NY; Babylon, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902865355. Details of each certification follow.

Hospital certification: CCN 330286

Legal name
GOOD SAMARITAN HOSPITAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 17, 2023
Beds
437
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 7, 1961 in NY
Enrollment address
1000 Montauk Hwy
West Islip, NY 11795-4927
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 3

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Good Samaritan Hospital Medical CenterCCN 330286 · All quality measures
Overall star rating
3 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

Ownership & related parties

All disclosed owners & managing parties 23

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

NameRoleSinceShare
Stephen Trapani Individual Corporate OfficerSVP Finance Dec 5, 2011
W-2 Managing EmployeeSVP Finance Dec 5, 2011
Patrick M O'Shaughnessy Individual Corporate OfficerChief Executive Officer Apr 16, 2021
Anthony F Marano Individual Corporate DirectorBoard Member Apr 1, 2014
Stephen F McLouglin Individual Corporate DirectorBoard Member Apr 1, 2014
Jerome M Poller Individual Corporate DirectorBoard Member Jan 1, 2008
Robert O Morrissey Individual Corporate DirectorBoard Member Apr 1, 2014
Christopher S Pascucci Individual Corporate DirectorBoard Member Apr 1, 2014
Brian R McGuire Individual Corporate DirectorBoard Member Apr 1, 2014
Thomas E Christman Individual Corporate DirectorBoard Member Apr 1, 2017
Peter P D'Angelo Individual Corporate DirectorBoard Member Apr 1, 2014
William Ward Individual Corporate DirectorBoard Member Jan 1, 2015
Virginia a Ewen Individual Corporate DirectorBoard Member Apr 1, 2014
John McCartney Individual Corporate DirectorBoard Member Jan 1, 2019
Frank L Kurre Individual Corporate DirectorBoard Member Apr 1, 2014
Salvatore F Sodano Individual Corporate Director Jan 1, 2007
Peter J Dugandzic Individual Corporate DirectorBoard Member Apr 1, 2014
John W Francfort Individual Corporate DirectorBoard Member Jan 1, 2015
Ruth Hennessey Individual Corporate OfficerPresident Dec 17, 2018
Catholic Health System of Long Island Inc Organization, Rockville Centre, NY Corporation, Non-profit Operational/Managerial Control Oct 24, 1997 100%
Robert Zuccaro Individual Corporate DirectorBoard Member Jan 1, 2016
Peter Quick Individual Corporate DirectorBoard Member Jan 1, 2017
Robert Coughlan Individual Corporate DirectorDirector Jan 1, 2020
Kevin J Conway Individual Corporate DirectorBoard Member Apr 1, 2014

Owners & managing parties with NPI records 1

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 168

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 168

Affiliated clinicians 1,194

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

View all 1,194

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1902865355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "631-376-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "631-376-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "LUNDBYE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-376-4186"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03000337",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000384",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.