NPIMap

Organization Active NPI

Long Beach Medical Center

  • General Acute Care Hospital
  • Long Beach, NY
National Provider Identifier
1962780361
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LONG BEACH MEDICAL CENTER
Practice address
455 E Bay Dr
Long Beach, NY 11561-2301
Phone
(516) 897-1000
Fax
(516) 897-8347
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mr. Barry Stern
Title
Cfo
Phone
(516) 897-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NY Primary

Addresses

Primary practice location

455 E Bay Dr
Long Beach, NY 11561-2301

Mailing address

455 E Bay Dr
Long Beach, NY 11561-2301
Phone (516) 897-1000

Other identifiers 1

IdentifierTypeStateIssuer
00245487MedicaidNY

Other names 1

  • Family Care Center Physicans Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Long Beach Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1962780361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301",
            "telephone_number": "516-897-1000",
            "fax_number": "516-897-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E BAY DR",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612301",
            "telephone_number": "516-897-1000",
            "fax_number": "516-897-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-897-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center Physicans Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.