CONEY ISLAND HOSPITAL (NPI# 1780973206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780973206 |
| Entity Type | Organization |
| Organization Name | CONEY ISLAND HOSPITAL |
| Practice Address |
2040 Forest Avenue Staten Island NY 10303 |
| Mailing Address |
2040 Forest Ave Staten Island NY 10303-1737 |
| Practice Telephone | 7187612060 |
| Mailing Telephone | 7187612060 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MR. MICHAEL KANTAR (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 7187612060 |
| Authorized Official Credential | MS, RD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 1015604 | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740817741 | Coney Island Hospital | Internal Medicine | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 | 2020-03-27 |
| 1821522079 | Coney Island Hospital | General Acute Care Hospital | 150 E 39th St, Apt 509, New York, NY 10016-0933 | 2017-04-14 |
| 1205213725 | Coney Island Hospital | Local Education Agency (LEA) | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 | 2015-05-05 |
| 1033596978 | Coney Island Hospital | General Acute Care Hospital | 2601 Ocean Parkway, Room 3n32, Brooklyn, NY 11325 | 2015-04-29 |
| 1306153465 | Coney Island Hospital | Chronic Disease Hospital | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 | 2010-09-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONEY ISLAND HOSPITAL | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 |
| Street Address |
2040 FOREST AVENUE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518352855 | Richmond University Medical Center | General Acute Care Hospital | 355 Bard Ave Richmond University Medical Center, Department of Obstetrics and Gynecology, Staten Island, NY 10310 | 2015-04-03 |
| 1164846317 | Staten Island University Hospital | General Acute Care Hospital | 14 Manchester Dr, Staten Island, NY 10312-1807 | 2014-02-07 |
| 1336587773 | Vincent John Caserta | General Acute Care Hospital | 41 Fairlawn Loop, Staten Island, NY 10308-3508 | 2013-06-07 |
| 1407110760 | Suny Downstate Medical Center | General Acute Care Hospital | 89 Joseph Ave, Staten Island, NY 10314-5054 | 2012-07-01 |
| 1316235252 | Richmond University Medical Center | General Acute Care Hospital | 201 Hamilton Ave Apt 4c, Staten Island, NY 10301-1631 | 2011-07-13 |
| 1902192909 | Nicolette Tedeschi | General Acute Care Hospital | 38 Barrow Pl, Staten Island, NY 10309-1780 | 2011-06-28 |
| 1518266956 | Maimonides Medical Center | General Acute Care Hospital | 168 Ardsley St, Staten Island, NY 10306-1607 | 2011-03-24 |
| 1700195146 | Margaret Mary Terjesen | General Acute Care Hospital | 66 Lortel Ave, Staten Island, NY 10314-5511 | 2010-10-04 |
| 1356597256 | Maimonides Medical Center | General Acute Care Hospital | 555 Henderson Ave, Staten Island, NY 10310-1532 | 2008-08-11 |
| 1649702424 | Staten Island University Hospital | General Acute Care Hospital | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2017-03-30 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
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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.