ST MARY'S HOSPITAL (NPI# 1174662498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174662498 |
| Entity Type | Organization |
| Organization Name | ST MARY'S HOSPITAL |
| Practice Address |
2901 216th St Bayside NY 11360-2810 |
| Practice Telephone | 7182818800 |
| Mailing Telephone | 7182818800 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARGARET HERRON (MANAGER PATIENT ACCOUNTS) |
| Authorized Official Telephone | 7182818799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
700330N | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00309715 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912368432 | St Mary's Hospital | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2016-03-10 |
| 1245642669 | St Mary's Hospital | Psychiatric Hospital | 350 Main Ave, Passaic, NJ 07055 | 2014-05-21 |
| 1972872992 | St Mary's Hospital | General Acute Care Hospital | 2233 W Division, Chicago, IL 60622 | 2011-12-20 |
| 1053578567 | St Mary's Hospital | General Acute Care Hospital | 56 Franklin St, Waterbury, CT 06706-1253 | 2008-05-21 |
| 1659546729 | St Mary's Hospital | Emergency Medical Technician, Basic | 350 Boulevard, Passaic, NJ 07055-2840 | 2008-04-29 |
| 1114080546 | St Mary's Hospital | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2006-12-18 |
| 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 |
| System for Award Management (SAM) Entities | ST MARY'S HOSPITAL MEDICAL CENTER | 700 S Park St, Madison, WI 53715-1849 |
| System for Award Management (SAM) Entities | ST MARY'S HOSPITAL OF SUPERIOR | 3500 Tower Ave, Superior, WI 54880-5335 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922209923 | St. Mary's Hospital for Children | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2007-05-29 |
| 1114080546 | St Mary's Hospital | Skilled Nursing Facility | 2901 216th St, Bayside, NY 11360-2810 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144756479 | Christine Campbell | Skilled Nursing Facility | 14534 109th Ave, Jamaica, NY 11435-5414 | 2017-05-05 |
| 1871033985 | Sukhreet Bibbs | Skilled Nursing Facility | 1 Bradford Ct, Syracuse, NY 13207-2504 | 2017-03-08 |
| 1356890289 | Ann G Odonnell | Skilled Nursing Facility | 5644 Netherland Ave., 2a, Bronx, NY 10471 | 2016-10-04 |
| 1790239929 | Interim Healthcare | Skilled Nursing Facility | 2088 S Dry Brook Rd, Hancock, NY 13783-3442 | 2016-08-04 |
| 1992152060 | Jessica Lopez | Skilled Nursing Facility | 27 Wyndham Rd, Brentwood, NY 11717-2336 | 2016-05-18 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1164893400 | Lois Knapp PCa | Skilled Nursing Facility | 2861 State Highway 7, Otego, NY 13825-2139 | 2015-10-13 |
| 1801265913 | Victor Marceano Rn | Skilled Nursing Facility | 85 California Ave, Middletown, NY 10940-6621 | 2015-09-18 |
| 1861860827 | Yves M Bastien | Skilled Nursing Facility | 79 Roeckel Ave, Valley Stream, NY 11580-3506 | 2015-09-08 |
| 1750757027 | Promed Staffing Resources | Skilled Nursing Facility | 99 Cameron Ave, Hempstead, NY 11550-4511 | 2015-08-20 |
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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.