LONG ISLAND FQHC, INC. (NPI# 1962716050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962716050 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND FQHC, INC. |
| Practice Address |
135 Main St Hempstead NY 11550-2414 |
| Mailing Address |
1600 Stewart Ave Ste 300 Westbury NY 11590-6611 |
| Practice Telephone | 5165721300 |
| Practice Fax Number | 5165663954 |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | DAVID NEMIROFF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5165464198 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2908201R04 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827396 | Long Island Fqhc, Inc. | Clinic/Center | 1 Post Rd, Old Westbury, NY 11568-1629 | 2018-10-18 |
| 1336669670 | Long Island Fqhc, Inc. | Clinic/Center | 2150 Hempstead Tpke # 58c, Elmont, NY 11003-1551 | 2017-06-27 |
| 1215403050 | Long Island Fqhc, Inc. | Clinic/Center | 820 Front St, Hempstead, NY 11550-4627 | 2018-10-19 |
| 1023474996 | Long Island Fqhc, Inc. | Behavioral Analyst | 16 Main St, Hempstead, NY 11550-4020 | 2016-01-08 |
| 1043676158 | Long Island Fqhc, Inc. | Clinic/Center | 3227 Long Beach Rd Ste 2, Oceanside, NY 11572-3651 | 2016-01-05 |
| 1700242823 | Long Island Fqhc, Inc. | Counselor | 950 S Oyster Bay Rd, Hicksville, NY 11801-3510 | 2016-01-05 |
| 1881028108 | Long Island Fqhc, Inc. | Clinic/Center | 101 S Bergen Pl, Freeport, NY 11520-3528 | 2013-08-22 |
| 1215241302 | Long Island Fqhc, Inc. | Clinic/Center | 682 Union Ave, Westbury, NY 11590-3552 | 2010-07-30 |
| 1396059499 | Long Island Fqhc, Inc. | Clinic/Center | 380 Nassau Rd, Roosevelt, NY 11575-1343 | 2010-07-30 |
| 1912211012 | Long Island Fqhc, Inc. | Clinic/Center | 161 Hempstead Tpke, Elmont, NY 11003-1432 | 2010-07-30 |
| Street Address |
135 MAIN ST |
| City | HEMPSTEAD |
| State | NY |
| Zip Code | 11550-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255732855 | Karolina Pekala | Student in an Organized Health Care Education/Training Program | 135 Main St, Hempstead, NY 11550-2414 | 2014-09-15 |
| 1770901795 | Ashwin Mehra | Psychologist | 135 Main St, Hempstead, NY 11550-2414 | 2014-04-07 |
| 1871851568 | Natalia Alcantara-lugo | Social Worker | 135 Main St, Hempstead, NY 11550-2414 | 2012-05-01 |
| 1174717953 | Signature Health Center | Chiropractor | 135 Main St, Hempstead, NY 11550-2414 | 2007-09-05 |
| 1528139458 | Shira Portnoy | Physician Assistant | 135 Main St, Long Island Fqhc, Inc., Hempstead, NY 11550-2414 | 2006-11-13 |
| 1568531440 | Yasmine Titus Pompey | Pediatrics | 135 Main St, Hempstead, NY 11550-2414 | 2006-11-07 |
| 1225054125 | Nassau Health Care Corporation | Clinic/Center | 135 Main St, Hempstead, NY 11550-2414 | 2006-07-14 |
| 1144257221 | Mark E Studin | Chiropractor | 135 Main St, Hempstead, NY 11550-2414 | 2006-06-26 |
| 1306872221 | Naseem Ali Hussaini | Internal Medicine | 135 Main St, Long Island Fqhc, Inc., Hempstead, NY 11550-2414 | 2006-06-23 |
| 1568406320 | John Richard Nailor | Orthopaedic Surgery | 135 Main St, Hempstead, NY 11550-2414 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505720 | Karla Louelle Timbol Casino | Physical Therapist | Synergy Health Medical Solutions PC, 95 Clinton St, Hempstead, NY 11550 | 2020-07-16 |
| 1942790720 | Move Better Physical Therapy Pllc | Clinic/Center | 135 Clinton St Unit Lb4, Hempstead, NY 11550 | 2018-05-16 |
| 1962929687 | Selina Mahadeo | Licensed Practical Nurse | 1234 Hempstead Ave, Hempstead, NY 11550 | 2017-08-23 |
| 1023544145 | Ann Marie Clarke | Registered Nurse | 12 Saint Pl, Hempstead, NY 11550 | 2017-05-10 |
| 1902330053 | Yamillette Kinard | Specialist | 18 Mitchell Ct, Hempstead, NY 11550 | 2017-04-16 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1053798108 | Kadia Chisholm | Licensed Practical Nurse | 50 Clinton Street (suite 601), Hempstead, NY 11550 | 2015-04-28 |
| 1558757658 | Oti Management Consulting, Inc | Community/Behavioral Health | 50 Clinton St Suite 205 Rm2, Hempstead, NY 11550 | 2015-04-15 |
| 1578969333 | Kadiatu Koroma | Licensed Practical Nurse | 100 Terrace Ave, Apt. 555, Hempstead, NY 11550 | 2014-11-06 |
| 1669895363 | Debbie Smith Pt Pllc | Physical Therapist | 36 Cathedral Avenue, 6e, Hempstead, NY 11550 | 2014-01-31 |
| Find all providers in zip 11550 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215403050 | Long Island Fqhc, Inc. | Clinic/Center | 820 Front St, Hempstead, NY 11550-4627 | 2018-10-19 |
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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.