LONG BEACH MEDICAL CENTER (NPI# 1699805309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699805309 |
| Entity Type | Organization |
| Organization Name | LONG BEACH MEDICAL CENTER |
| Other Organization Name | LONG BEACH GROUP PRACTICE |
| Practice Address |
455 E Bay Dr Long Beach NY 11561-2301 |
| Practice Telephone | 5168971065 |
| Practice Fax Number | 5168971064 |
| Mailing Telephone | 5168971060 |
| Mailing Fax Number | 5168971064 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2013-07-18 |
| Authorized Official Name | MR. BARRY STERN (CFO) |
| Authorized Official Telephone | 5168971212 |
| Authorized Official Credential | CPA, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| LONG BEACH GROUP PRACTICE | Doing Business As Name - Organization |
| 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 |
| 1083970131 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2012-04-03 |
| 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 |
| 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 |
| 1083970131 | Long Beach Medical Center | General Acute Care Hospital | 455 E Bay Dr, Long Beach, NY 11561-2301 | 2012-04-03 |
| 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 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323681 | Samantha Dylan Schustek | Specialist | 414 E Chester St, Long Beach, NY 11561-2304 | 2019-12-11 |
| 1780234914 | Esther Maria Salorio | Specialist | 26 W Broadway Apt 603, Long Beach, NY 11561-4063 | 2019-09-19 |
| 1043867740 | Elizabeth Fichtelman | Specialist | 513 E Fulton St, Long Beach, NY 11561-2416 | 2019-08-19 |
| 1245886340 | Jennifer Kolonkowski | Specialist | 450 Shore Rd Apt 4m, Long Beach, NY 11561-5335 | 2019-08-14 |
| 1700431293 | Amy L Eisenberg | Specialist | 666 Shore Rd Apt 6m, Long Beach, NY 11561-4616 | 2019-08-02 |
| 1063948081 | Helene Rodway | Specialist | 360 Shore Rd Apt 10h, Long Beach, NY 11561-4381 | 2017-05-11 |
| 1053866699 | Breanne Day | Specialist | 65 W Broadway Apt 10g, Long Beach, NY 11561-4021 | 2016-08-24 |
| 1205286101 | Wendina Mon Pech | Specialist | 1050 E 17th St, Long Beach, CA 90813-2110 | 2016-06-21 |
| 1457708596 | Maggie Aline Lanctot | Specialist | 1906 E 1st St, 4b, Long Beach, CA 90802-6109 | 2016-05-18 |
| 1740635697 | Elizabeth Judith Cantwell | Specialist | 700 Shore Rd Apt 6a, Long Beach, NY 11561-4718 | 2016-04-28 |
| 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.