NPIMap

Organization Active NPI

North Shore University Hospital

Doing business as NSLIJHS Medical Health Home

  • Case Management Agency
  • New Hyde Park, NY
National Provider Identifier
1932472107
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
NORTH SHORE UNIVERSITY HOSPITAL
Doing business as
NSLIJHS Medical Health Home
Practice address
3333 New Hyde Park Rd Ste 317
New Hyde Park, NY 11042-1205
Phone
(516) 472-3904
NPI assigned
Feb 17, 2012
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Mrs. Michele L. Cusack
Title
Senior Vice President & Cfo
Phone
(516) 321-6058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3333 New Hyde Park Rd Ste 317
New Hyde Park, NY 11042-1205

Mailing address

972 Brush Hollow Rd
Finance 5TH Floor
Westbury, NY 11590-1740

Other names 1

  • NSLIJHS Medical Health Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Shore-Lij Health System14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

3333 New Hyde Park Rd
Ste 317
New Hyde Park, NY 11042
Phone (516) 472-3904

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1932472107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 BRUSH HOLLOW RD",
            "address_2": "FINANCE 5TH FLOOR",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NEW HYDE PARK RD STE 317",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421205",
            "telephone_number": "516-472-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSLIJHS Medical Health Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.