DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER (NPI# 1962441824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962441824 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER |
| Practice Address |
79 Middleville Rd Northport NY 11768-2200 |
| Practice Telephone | 6312614400 |
| Practice Fax Number | 6317547970 |
| Mailing Telephone | 6312614400 |
| Mailing Fax Number | 6317547970 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | DR. PETER C ALTNER (CHIEF ORTHOPEDIC SERVICE) |
| Authorized Official Telephone | 6312614400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 036-040028 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194983379 | Department of Veterans Affairs Medical Center | Military Hospital | 520 Chanticlar Ct, Newport News, VA 23608-1670 | 2008-05-25 |
| 1811194731 | Department of Veterans Affairs Medical Center | Military Hospital | 508 Fulton St # 117c, Va Medical Center Mrs. Demetri, Durham, NC 27705-3875 | 2007-07-03 |
| 1427495779 | Department of Veterans Affairs Medical Center | Nursing Care | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2013-05-28 |
| 1508041559 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 7525 Greenway Center Dr, Suite Number T4, Greenbelt, MD 20770-3509 | 2008-01-08 |
| 1346423985 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-12-05 |
| 1285827394 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2007-08-22 |
| 1063594885 | Department of Veterans Affairs Medical Center | Long Term Care Hospital | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-10-20 |
| 1679595763 | Department of Veterans Affairs Medical Center | Clinic/Center | 1201 Nw 16th St, Miami, FL 33125-1624 | 2006-07-24 |
| 1487699187 | Department of Veterans Affairs Medical Center | General Acute Care Hospital | 1055 Clermont St, Denver, CO 80220-3808 | 2006-06-17 |
| 1326082090 | Department of Veterans Affairs Medical Center | Special Hospital | 4815 N Assembly St, Spokane, WA 99205-6185 | 2006-06-15 |
| Street Address |
79 MIDDLEVILLE RD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958471 | David Wayne Gately | Psychologist | 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 | 2005-08-02 |
| 1497356174 | Cynthia Abigail Serrano-colon | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-11-08 |
| 1225636020 | Jessie Ryan Poznack | Pathology | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-10-14 |
| 1356958094 | Alex Myunghwan Shin | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-27 |
| 1407460470 | Kimberly Ann Smith | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-07 |
| 1790398634 | Simrit Kaur Virk | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-29 |
| 1700499670 | Christine Palathinkal | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-28 |
| 1235748252 | Valerie Marie Campos | Registered Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-27 |
| 1124636634 | Da Som Kim | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-21 |
| 1518584341 | Irene Sofia Koutsidis | Social Worker | 79 Middleville Rd, Northport, NY 11768-2296 | 2020-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| 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 |
|---|---|---|---|---|
| 1164519484 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, 116a, Northport, NY 11768-2200 | 2006-10-06 |
| 1013011519 | Vamc | General Acute Care Hospital | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-09-13 |
| 1760586325 | Northport Medical Center | General Acute Care Hospital | 2700 Hospital Dr, Northport, AL 35476-3360 | 2006-09-12 |
| 1033169412 | Northport Vamc | General Acute Care Hospital | 79 Middleville Rd, Bldg 200, Northport, NY 11768-2200 | 2006-05-10 |
| 1952360372 | Vamc Northport | General Acute Care Hospital | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-03-23 |
| 1740249556 | Northport Va Medical Center | General Acute Care Hospital | 79 Middleville Rd, Northport, NY 11768-2200 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
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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.