LONG ISLAND FQHC, INC. (NPI# 1043676158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043676158 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND FQHC, INC. |
| Practice Address |
3227 Long Beach Rd Ste 2 Oceanside NY 11572-3651 |
| Mailing Address |
1600 Stewart Ave Ste 300 Westbury NY 11590-6611 |
| Practice Telephone | 5166780900 |
| Practice Fax Number | 5164311600 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | DAVID NEMIROFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5165718600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827396 | Long Island Fqhc, Inc. | Clinic/Center | 1 Post Rd, Old Westbury, NY 11568-1629 | 2018-10-18 |
| 1336669670 | Long Island Fqhc, Inc. | Clinic/Center | 2150 Hempstead Tpke # 58c, Elmont, NY 11003-1551 | 2017-06-27 |
| 1215403050 | Long Island Fqhc, Inc. | Clinic/Center | 820 Front St, Hempstead, NY 11550-4627 | 2018-10-19 |
| 1023474996 | Long Island Fqhc, Inc. | Behavioral Analyst | 16 Main St, Hempstead, NY 11550-4020 | 2016-01-08 |
| 1700242823 | Long Island Fqhc, Inc. | Counselor | 950 S Oyster Bay Rd, Hicksville, NY 11801-3510 | 2016-01-05 |
| 1881028108 | Long Island Fqhc, Inc. | Clinic/Center | 101 S Bergen Pl, Freeport, NY 11520-3528 | 2013-08-22 |
| 1215241302 | Long Island Fqhc, Inc. | Clinic/Center | 682 Union Ave, Westbury, NY 11590-3552 | 2010-07-30 |
| 1962716050 | Long Island Fqhc, Inc. | Clinic/Center | 135 Main St, Hempstead, NY 11550-2414 | 2010-07-30 |
| 1396059499 | Long Island Fqhc, Inc. | Clinic/Center | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2010-07-30 |
| 1912211012 | Long Island Fqhc, Inc. | Clinic/Center | 161 Hempstead Tpke, Elmont, NY 11003-1432 | 2010-07-30 |
| Street Address |
3227 LONG BEACH RD STE 2 |
| City | OCEANSIDE |
| State | NY |
| Zip Code | 11572-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497904429 | Lisa Braverman | Social Worker | 3227 Long Beach Rd Ste 2, Oceanside, NY 11572-3651 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
| 1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
| 1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
| 1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
| 1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
| 1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
| 1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
| 1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
| 1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
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| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.