LONG ISLAND FQHC, INC. (NPI# 1215241302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215241302 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND FQHC, INC. |
| Practice Address |
682 Union Ave Westbury NY 11590-3552 |
| Mailing Address |
1600 Stewart Ave Ste 300 Westbury NY 11590-6611 |
| Practice Telephone | 5165719500 |
| Practice Fax Number | 5165719557 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | DAVID NEMIROFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5165464198 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2908201R | NY | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Post Rd, Old Westbury, NY 115681629 | 5162963742 |
| 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 |
| 1043676158 | Long Island Fqhc, Inc. | Clinic/Center | 3227 Long Beach Rd Ste 2, Oceanside, NY 11572-3651 | 2016-01-05 |
| 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 |
| 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 |
682 UNION AVE |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-3552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992773915 | Christine Brown Williamson | Family Medicine | 682 Union Ave, Long Island Fqhc, Inc., Westbury, NY 11590-3552 | 2006-03-08 |
| 1154846558 | Monica Gonzalez | Dietitian, Registered | 682 Union Ave, Westbury, NY 11590-3552 | 2017-08-07 |
| 1457694697 | Sadie Samuels-foster | Social Worker | 682 Union Ave, Westbury, NY 11590-3552 | 2013-04-05 |
| 1396030797 | Natasha Pierre-louis | Dentist | 682 Union Ave, Westbury, NY 11590-3552 | 2011-06-14 |
| 1174762983 | Angela Randall | Counselor | 682 Union Ave, New Cassel Community Health Center, Westbury, NY 11590 | 2009-02-18 |
| 1639318447 | Chanelle Kendall | Counselor | 682 Union Ave, New Cassel Community Health Center, Westbury, NY 11590 | 2009-02-18 |
| 1699808030 | Tara Howard-saunders | Nurse Practitioner | 682 Union Ave, Westbury, NY 11590-3552 | 2007-03-14 |
| 1790894376 | Linotte Jean-jeune | Internal Medicine | 682 Union Ave, Westbury, NY 11590-3552 | 2006-08-29 |
| 1730106378 | New Cassel Community Health Center | Clinic/Center | 682 Union Ave, Westbury, NY 11590-3552 | 2006-07-17 |
| 1154374627 | Marie Barbara Celestin | Family Medicine | 682 Union Ave, Long Island Fqhc, Inc., Westbury, NY 11590-3552 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| 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.