ST. MARY'S HOSPITAL FOR CHILDREN (NPI# 1043520323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043520323 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S HOSPITAL FOR CHILDREN |
| Practice Address |
2901 216th St Bayside NY 11360-2810 |
| Practice Telephone | 7182818751 |
| Practice Fax Number | 7182791503 |
| Mailing Telephone | 7182818751 |
| Mailing Fax Number | 7182791503 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | MRS. JESSICA KYOUNGA HONG (PHARMACIST) |
| Authorized Official Telephone | 7182818751 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 050525 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013383264 | St. Mary's Hospital for Children | Skilled Nursing Facility | 507 Bainbridge St, Brooklyn, NY 11233-2002 | 2015-08-11 |
| 1861635450 | St. Mary's Hospital for Children | Early Intervention Provider Agency | 33 Old Hemlock Dr, New Windsor, NY 12553-7249 | 2009-04-12 |
| 1932347911 | St. Mary's Hospital for Children | Early Intervention Provider Agency | 2901 216th St, Bayside, NY 11360-2810 | 2009-01-28 |
| 1346404019 | St. Mary's Hospital for Children | Home Health | 2901 216th St, Bayside, NY 11360-2810 | 2008-07-11 |
| 1922209923 | St. Mary's Hospital for Children | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2007-05-29 |
| 1902022106 | St. Mary's Hospital for Children | General Acute Care Hospital | 2901 216th St, Bayside, NY 11360-2810 | 2007-04-17 |
| 1083709703 | St. Mary's Hospital for Children | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2006-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST MARY'S HOSPITAL FOR CHILDREN, INC. | 2901 216th St, Bayside, NY 11360-2810 |
| Street Address |
2901 216TH ST |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794798 | Paul Michael Berger-gross | Clinical Neuropsychologist | 2901 216th St, Bayside, NY 11360-2810 | 2005-07-21 |
| 1891308409 | Kristina Hartig | Nurse Practitioner | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-25 |
| 1417567991 | Angela Sora Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-08-09 |
| 1801411053 | Mary Beth Hollywood | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2020-06-13 |
| 1174145486 | Savannah Rose Yablonski | Physical Therapist | 2901 216th St, Bayside, NY 11360-2810 | 2020-05-08 |
| 1780229179 | Dilia Rivera | Dietitian, Registered | 2901 216th St, Bayside, NY 11360-2810 | 2019-11-09 |
| 1003374737 | Natasha Hayden | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2019-03-12 |
| 1649746595 | Samantha Petrakis | Nursing Care | 2901 216th St, Bayside, NY 11360-2810 | 2018-10-18 |
| 1447745070 | Sheena Coley | Licensed Practical Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-06-26 |
| 1184126104 | Zhiling Han | Registered Nurse | 2901 216th St, Bayside, NY 11360-2810 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| Find all providers in zip 11360 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1891236485 | Omolara Omotunde-oniwe | Long Term Care Hospital | 13720 171st St, Jamaica, NY 11434-4506 | 2017-03-15 |
| 1972047934 | Lilian M Collins | Long Term Care Hospital | 742 Bartholdi St, Bronx, NY 10467-6206 | 2016-12-10 |
| 1740734557 | Jacobi Medical Center | Long Term Care Hospital | 2265 5th Ave Apt 1b, New York, NY 10037-2051 | 2016-08-09 |
| 1306228085 | Wyckoff Dr. Guberman Wyckoff Heights Medical Center | Long Term Care Hospital | 1488 Buschwick Ave, Apt #4c, Brooklyn, NY 11207 | 2015-06-18 |
| 1104235308 | Shanti Koirala Pradhan | Long Term Care Hospital | 1955 1st Ave Apt 721, Aspen Apt 721, New York, NY 10029-6446 | 2014-08-13 |
| 1982945754 | Elena Mare Barone | Long Term Care Hospital | 56 Quincy Pl, West Islip, NY 11795-1938 | 2013-03-04 |
| 1528302494 | Kelly Mcmurray | Long Term Care Hospital | 32 Losson Garden Dr Apt 2, Cheektowaga, NY 14227-2305 | 2012-11-16 |
| 1437426905 | New York University Langone Medical Center | Long Term Care Hospital | 425 E 114th St Apt 4fw, New York, NY 10029-2357 | 2011-11-28 |
| 1952698268 | New York Hospital Queens | Long Term Care Hospital | 335 Meadowview Ave, Hewlett, NY 11557-1701 | 2011-07-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.