ST.MARY'S HEALTHCARE SYSTEM FOR CHILDREN (NPI# 1619226750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619226750 |
| Entity Type | Organization |
| Organization Name | ST.MARY'S HEALTHCARE SYSTEM FOR CHILDREN |
| Practice Address |
5 Dakota Dr Suite 200 New Hyde Park NY 11042-1107 |
| Practice Telephone | 7182818579 |
| Mailing Telephone | 7182818579 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |
| Authorized Official Name | LEAH JANE LAVENDER-TABAR (SPEECH-LANGAUGE PATHOLOGIST) |
| Authorized Official Telephone | 9176706781 |
| Authorized Official Credential | M.A., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 021574 | NY | Managed Care Organizations |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. MARY'S HEALTHCARE SYSTEM FOR CHILDREN, INC. | 29-01 216th Street, Bayside, New York 11360 |
| Street Address |
5 DAKOTA DR SUITE 200 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366589731 | St Mary's Hospital for Children, Inc. | Home Health | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2007-02-01 |
| 1245845676 | Cheynese Francis | Physical Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2020-09-11 |
| 1063054047 | Shannon Kristin Reardon | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2019-10-11 |
| 1740835545 | Jessica Lauren D'arienzo | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2019-08-08 |
| 1679069785 | Andre Pryce | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2018-07-02 |
| 1326555954 | Ming Cheung | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042 | 2018-01-04 |
| 1871008979 | Michelle Bardin | Occupational Therapist | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2017-12-11 |
| 1760918064 | Matthew Rosenboom | General Acute Care Hospital | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2017-05-04 |
| 1457701815 | Scott Wolfe | Student in an Organized Health Care Education/Training Program | 5 Dakota Dr, New Hyde Park, NY 11042-1107 | 2016-06-16 |
| 1538545876 | St. Mary's Hospital Case Management | Home Health | 5 Dakota Dr, Suite 200, New Hyde Park, NY 11042-1107 | 2015-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518350107 | Dr Christine Kantor Optometry | Exclusive Provider Organization | 1983 Marcus Ave, Suite E120, New Hyde Park, NY 11042-2000 | 2015-03-06 |
| 1659635357 | Lakeville Physical Therapy & Acupuncture LLC | Exclusive Provider Organization | 2035 Lakeville Rd, Suite 300, New Hyde Park, NY 11040-1600 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659862290 | Mitchell J Lurye,lcswr.llc | Exclusive Provider Organization | 274 N Goodman St Ste 283, Rochester, NY 14607-1154 | 2018-05-18 |
| 1194234716 | New American Empowerment | Exclusive Provider Organization | 129 Mclennan Ave # A1310, Syracuse, NY 13205-1263 | 2017-09-26 |
| 1295253565 | Pier17 Professional Medical Mgmt | Exclusive Provider Organization | 3165 Emmons Ave Ste C2-c3, Brooklyn, NY 11235-1785 | 2017-09-06 |
| 1255862413 | Rodrigo Vasquez | Exclusive Provider Organization | 7 Gibson Blvd, Valley Stream, NY 11581-2019 | 2017-03-21 |
| 1386183986 | Christop La Rocca I | Exclusive Provider Organization | 721 Eagle Ave, Bronx, NY 01455 | 2017-02-15 |
| 1609315423 | Sullivan Counseling Incorporated | Exclusive Provider Organization | 1024 N Hamilton Ave, Lindenhurst, NY 11757-2129 | 2017-02-13 |
| 1114465622 | The Forgotten Ones Incorporated | Exclusive Provider Organization | 5037 Newtown Rd, Woodside, NY 11377-1711 | 2017-02-03 |
| 1306382734 | Achievement for Disabled Youth | Exclusive Provider Organization | 1090 University Ave Apt E3, Bronx, NY 10452-4219 | 2017-01-09 |
| 1043755507 | Happy Home Adult Day Care Inc | Exclusive Provider Organization | 3636 Prince St Ste 310, Flushing, NY 11354-4001 | 2016-12-19 |
| 1740630458 | Q & A Acupuncture Pllc | Exclusive Provider Organization | 110-24 Sutphin Blvd, Jamaica, NY 11435 | 2016-06-14 |
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| City | NEW HYDE PARK |
| Zip Code | 11042 |
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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.