LONG BEACH MEDICAL CENTER (NPI# 1083970131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083970131 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEDICAL CENTER |
| Practice Address |
455 E Bay Dr Long Beach NY 11561-2301 |
| Practice Telephone | 5168971000 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | DOUGLAS L MELZER (CEO) |
| Authorized Official Telephone | 5168971000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | NY | Hospitals | |
| Y | 207Q00000X | Family Medicine | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033552690 | Long Beach Medical Center | General Acute Care Hospital | 761 Franklin Blvd, Long Beach, NY 11561-2450 | 2013-04-14 |
| 1366788390 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2012-12-19 |
| 1962780361 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2011-08-02 |
| 1073837019 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2010-03-19 |
| 1699805309 | Long Beach Medical Center | Specialist | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2007-03-06 |
| 1255354221 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2006-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LONG BEACH MEDICAL CENTER | 455 East Bay Drive, Long Beach, New York 11561 |
| Street Address |
455 E BAY DR |
| City | LONG BEACH |
| State | NY |
| Zip Code | 11561-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538141791 | Nes Medical Services of New York PC | Emergency Medicine | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2005-11-15 |
| 1457796690 | Long Beach Family Care Center | Clinic/Center | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2013-05-01 |
| 1366788390 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2012-12-19 |
| 1649521774 | Farhana Ahmed | Physical Medicine & Rehabilitation | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2012-09-28 |
| 1962780361 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2011-08-02 |
| 1992015069 | Robert Mack Krauss | Counselor | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2010-10-07 |
| 1679882484 | Long Beach Fcc Physician Practice | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2010-09-28 |
| 1073837019 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2010-03-19 |
| 1356679963 | Meredith Marie Corson | Family Medicine | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2009-11-20 |
| 1669654794 | Long Beach Medical Center - Counseling Mental Health | Case Management | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083246961 | Romina Zitofsky | Community Health Worker | 65 Pacific Blvd, Long Beach, NY 11561 | 2020-02-07 |
| 1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
| 1073032199 | Sherrie Cooper | Behavior Technician | 554 East Pine Street, Long Beach, NY 11561 | 2017-09-11 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| 1023547452 | Tina Bayer | Nurse Practitioner | 427 East Chester Street 2nd Floor, Long Beach, NY 11561 | 2017-06-08 |
| 1316483977 | Taylor Nicole Paganini | Massage Therapist | 252 Grand Blvd, Long Beach, NY 11561 | 2017-01-06 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1588048797 | Carol Bell | Behavioral Analyst | 121 Harding Avenue, Long Beach, NY 11561 | 2015-07-17 |
| 1811378821 | Patricia Harris | Case Manager/Care Coordinator | 72 Illinios Avenue, Long Beach, NY 11561 | 2015-06-16 |
| 1164801916 | Antonia Dileo | Marriage & Family Therapist | 36 Prescott Street, Lido Beach, NY 11561 | 2015-05-27 |
| Find all providers in zip 11561 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852435 | Clnica Uriel / Iradj Nazarian Md | Family Medicine | 1187 E Anaheim St, Long Beach, CA 90813-3662 | 2020-02-05 |
| 1104485887 | Pmd Wellness Center Inc. | Family Medicine | Pmd Wellness Center Inc, 1187 E. Anaheim St., Long Beach, CA 90813-3663 | 2019-06-06 |
| 1699248674 | Central Neighborhood Health Foundat | Family Medicine | 711 E Via Wanda, Long Beach, CA 90805-6526 | 2019-01-02 |
| 1629580337 | Kathleen Legaspi Hoops | Family Medicine | 865 Lees Ave, Long Beach, CA 90815-5024 | 2017-11-02 |
| 1609222942 | Prohealth Partners A Medical Group | Family Medicine | 3816 Woodruff Ave Ste 406, Long Beach, CA 90808-2146 | 2016-05-05 |
| 1083079289 | Majestic Medical Clinic, Inc. | Family Medicine | 817 Atlantic Ave # 14, Long Beach, CA 90813-4512 | 2015-12-15 |
| 1336522788 | Duc Nguyen | Family Medicine | 555 E Ocean Blvd Ste 110, Long Beach, CA 90802 | 2015-07-02 |
| 1356781132 | Philip Kim | Family Medicine | 1729 Termino Ave Ste B, Long Beach, CA 90804-2121 | 2013-06-26 |
| 1881932168 | Ronald Merton Sommer | Family Medicine | 1436 W. 23rd St., Westside Free Clinic, Long Beach, CA 90810 | 2013-01-22 |
| 1053693275 | Michael James Miech | Family Medicine | 6301 Marina Pacifica Dr S, Long Beach, CA 90803-3821 | 2011-09-13 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 11561 |
Please comment or provide details below to improve the information on LONG BEACH MEDICAL CENTER.
| 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.