NPIMap

Organization Active NPI

St. Catherine of Siena Medical Center

  • General Acute Care Hospital
  • Smithtown, NY
National Provider Identifier
1982663423
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST. CATHERINE OF SIENA MEDICAL CENTER
Practice address
50 Route 25a
Smithtown, NY 11787-1348
Phone
(631) 862-3000
NPI assigned
Mar 22, 2006
Last updated
Nov 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Mr. John Pohlman
Title
VP of Finance
Phone
(631) 862-3107

Specialties & licenses 1

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

Addresses

Primary practice location

50 Route 25a
Smithtown, NY 11787-1348

Mailing address

PO Box 95000-6565
Philadelphia, PA 19195-6585
Phone (631) 862-3000

Other identifiers 2

IdentifierTypeStateIssuer
03010193MedicaidNY
000335OtherNYBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060419000519 NY Part A Provider - Hospital 0941267876 Practice locations: Riverhead, NY; Smithtown, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982663423. Details of each certification follow.

Hospital certification: CCN 330401

Legal name
ST CATHERINE OF SIENA MEDICAL CENTER
Doing business as
ST. CATHERINE OF SIENA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 3, 2000
Last certification
Sep 21, 2022
Beds
318
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Nov 10, 1999 in NY
Enrollment address
50 Route 25a
Smithtown, NY 11787-1348
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
St Catherine of Siena HospitalCCN 330401 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

200 UCLA Medical Plz
Ste 365B
Los Angeles, CA 90095
Phone (310) 825-2448

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
Patrick M O'Shaughnessy Individual Corporate OfficerChief Executive Officer Apr 16, 2021
Dominick Pernice Individual Corporate OfficerChief Operating Officer Jun 7, 2021
W-2 Managing EmployeeChief Operating Officer Dec 3, 2007
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
James O'Connor Individual Corporate OfficerPresident Feb 23, 2018
W-2 Managing EmployeePresident Feb 23, 2018
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 DirectorBoard Member Jan 1, 2007
Peter J Dugandzic Individual Corporate DirectorBoard Member Apr 1, 2014
Debra del Vecchio Individual Corporate DirectorBoard Member May 1, 2022
Catholic Health System of Long Island Inc Organization, Rockville Centre, NY Corporation, Non-profit Operational/Managerial Control Feb 29, 2000 100%
Robert Zuccaro Individual Corporate DirectorBoard Member Jan 1, 2016
Peter Quick Individual Corporate DirectorBoard Member Jan 1, 2017
Daniel T Rowe Individual Corporate DirectorBoard Member Apr 1, 2014
Kevin J Conway Individual Corporate DirectorBoard Member Apr 1, 2014

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 48

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 48

Affiliated clinicians 503

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

View all 503

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": "1479254400000",
    "number": "1982663423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-6565",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191956585",
            "telephone_number": "631-862-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871348",
            "telephone_number": "631-862-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CATHERINE OF SIENA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "POHLMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "631-862-3107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03010193",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.