PLANNED PARENTHOOD HUDSON PECONIC (NPI# 1073735601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073735601 |
| Entity Type | Organization |
| Organization Name | PLANNED PARENTHOOD HUDSON PECONIC |
| Practice Address |
180 Sunrise Highway West Islip NY 11795 |
| Mailing Address |
353 Martin Drive West Islip NY 11795-2003 |
| Practice Telephone | 6318930153 |
| Practice Fax Number | 6318930146 |
| Mailing Telephone | 6316613897 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ELIZABETH ANNE DESANTIS (CLINICIAN) |
| Authorized Official Telephone | 6318930153 |
| Authorized Official Credential | R.N., N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
F330476-1 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689795353 | Planned Parenthood Hudson Peconic | Nurse Practitioner | 247 North Ave, New Rochelle, NY 10801 | 2007-04-02 |
| 1427333897 | Planned Parenthood Hudson Peconic | Clinic/Center | 70 Maple Ave, Smithtown, NY 11787-3502 | 2011-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PLANNED PARENTHOOD HUDSON PECONIC, INC. | 570 Taxter Rd Ste 220, Elmsford, NY 10523-2311 |
| Street Address |
180 SUNRISE HIGHWAY |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386006096 | Lamd Medical Group Multispecialty | Clinic/Center | 37-03 92nd Street, Queens, NY 11372 | 2016-03-22 |
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1346566262 | New York Prebysterian Medical Center | Clinic/Center | 45 Fairview Ave Apt 7h, New York, NY 10040-2755 | 2010-04-16 |
| 1174766091 | Wesal Y Freih | Clinic/Center | 679 Rollingwood Way, Valley Cottage, NY 10989-1607 | 2009-04-07 |
| 1134376254 | Jamaica Hospital Medical Center | Clinic/Center | 133-03 Jaimaica Ave Womens Health, Jamaica Hospital Medical Center, Richmond Hill, NY 11418 | 2008-08-20 |
| 1467613190 | North Central Bronx Hospital | Clinic/Center | 1112 Colony Dr, Hartsdale, NY 10530-1721 | 2008-06-25 |
| 1811195407 | Planned Parenthood of The Mid Hudson Valley | Clinic/Center | 178 Church St, Poughkeepsie, NY 12601-4165 | 2007-07-05 |
| 1992916456 | Carthage Area Hospital Inc. | Clinic/Center | 10881 Us Route 11, Adams, NY 13605-3154 | 2007-05-25 |
| 1558573741 | Planned Parenthood of Nyc | Clinic/Center | 349 E 149th St, 2nd Floor, Bronx, NY 10451-5603 | 2007-05-03 |
| 1669590840 | Planned Parenthood Mid-hudson Valley | Clinic/Center | 98 Center St, Ellenville, NY 12428-1512 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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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.