Long Island Detox Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LONG ISLAND DETOX INC.

Practice address

157 N Bayview Ave
Freeport, NY 11520-1901

Phone

(516) 377-6921

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Sydney Hughes, M.D.

Title

Ceo

Phone

(516) 543-5353

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Beth Kassan, LCSW

  • Clinical Social Worker
  • Freeport, NY
  • NPI 1447792510
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1972053890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N BAYVIEW AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201901",
            "telephone_number": "516-377-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N BAYVIEW AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201901",
            "telephone_number": "516-377-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND DETOX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-543-5353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Patricia Lobban
• Bonita Lochan, LMHC
• Michael Lolis, O.D.
• Lombahe Inc.
• Donald Londrigan Jr., R.V.T
• Long Island Family Dentistry
• Long Island Foot Care, PC
• Wiliana E Lopez
• Marc-Anthony Louis Charles, M.D.
• Louis Swartz MD PC

• Internal Medicine Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.