LONG ISLAND FERTILITY, PLLC (NPI# 1275810533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275810533 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND FERTILITY, PLLC |
| Other Organization Name | LABORATORY AT LONG ISLAND FERTILITY, PLLC |
| Practice Address |
8 Corporate Center Dr Suite 101 Melville NY 11747-3193 |
| Practice Telephone | 6317520606 |
| Practice Fax Number | 6313311332 |
| Mailing Telephone | 6317520606 |
| Mailing Fax Number | 6313311332 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | DIANE RAVECH (VICE PRESIDENT, MANAGED CARE) |
| Authorized Official Telephone | 8606783428 |
| Authorized Official Credential | MPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 33D1081165 | NY | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CLIA | 33D1081165 | 01 |
| Other Name | Type Code |
|---|---|
| Laboratory at Long Island Fertility, PLLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376828426 | Long Island Fertility, Pllc | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2011-10-19 |
| Street Address |
8 CORPORATE CENTER DR SUITE 101 |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467488619 | Allison Styne-gross | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2006-06-22 |
| 1417572611 | Oneika Newton | Family Medicine | 8 Corporate Center Dr, Melville, NY 11747-3193 | 2020-06-12 |
| 1376828426 | Long Island Fertility, Pllc | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2011-10-19 |
| 1265714539 | East Coast Fertility PC | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite101, Melville, NY 11747-3193 | 2011-09-13 |
| 1467780072 | Long Island Fertility & Endocrinology Assoc., PC | Clinic/Center | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2009-11-20 |
| 1568630119 | Long Island Fertility & Endocrinology Ivf Associates, PC | Clinical Medical Laboratory | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2008-02-18 |
| 1851416887 | David Kreiner | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2007-03-20 |
| 1386769289 | Joseph Edward Pena | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2007-03-20 |
| 1255408209 | Michael Zinger | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2006-11-28 |
| 1720168297 | Satu M Kuokkanen | Obstetrics & Gynecology | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2006-10-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1568630119 | Long Island Fertility & Endocrinology Ivf Associates, PC | Clinical Medical Laboratory | 8 Corporate Center Dr, Suite 101, Melville, NY 11747-3193 | 2008-02-18 |
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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.