Active NPI
St. John'S Episcopal Hospital
- Family Medicine Physician
- Far Rockaway, NY
National Provider Identifier
1992959605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST. JOHN'S EPISCOPAL HOSPITAL
- Practice address
- 327 Beach 19TH St
Far Rockaway, NY 11691-4423 - Phone
- (516) 349-2962
- Fax
- (516) 349-2914
- NPI assigned
- Nov 7, 2008
- Organization subpart
- Yes
- Parent organization
- EPISCOPAL HEALTH SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ned Rina
- Title
- Director Patient Accounts
- Phone
- (516) 349-2901
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 207KI0005X | |||
| Anesthesiology Physician | 207L00000X | |||
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Psychiatry Physician | 2084P0800X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X |
Addresses
Primary practice location
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Mailing address
PO Box 1386
Far Rockaway, NY 11690-1386
Phone (516) 349-2962
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02712563 | Medicaid | NY |
National Provider Directory
National Provider Directory- Part of
- Episcopal Health Services
Locations
327 Beach 19th St
#B
Far Rockaway, NY 11691
Phone (718) 869-7000
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Far Rockaway, NY
- NPI 1033202544
-
- Endocrinology, Diabetes & Metabolism Physician
- Far Rockaway, NY
- NPI 1548368608
-
- Anesthesiologist Assistant
- Valley Stream, NY
- NPI 1578645206
-
- Hematology (Pathology) Physician
- Far Rockaway, NY
- NPI 1093812513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1992959605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1386",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116901386",
"telephone_number": "516-349-2962",
"fax_number": "516-349-2914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "516-349-2962",
"fax_number": "516-349-2914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN'S EPISCOPAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EPISCOPAL HEALTH SERVICES, INC",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "RINA",
"authorized_official_first_name": "NED",
"authorized_official_title_or_position": "DIRECTOR PATIENT ACCOUNTS",
"authorized_official_telephone_number": "516-349-2901",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207KI0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02712563",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
- St John'S Episcopal Hospital
- St John'S Medical Services PC
- St Johns Emergency Medical Services PC
- St. John'S Episcopal Hospital
- St. John'S Episcopal Hospital
- St. John'S Episcopal Hospital Community Mental Health
- Vanzetta Yvonne Stallworth, CASAC
- Startrack Rehab PT PC
- Monique Stays, LMSW
- Shoshana R. Stefansky, MS-SLP-/CCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.