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GOOD SAMARITAN HOSPITAL
NPI 1033401211
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in West Islip, NY

Active since May 06, 2011CLIA Certified · 2 labs
1000 MONTAUK HIGHWAY, WEST ISLIP, NY 11795(631) 376-3069 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Samaritan Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN HOSPITAL (NPI 1033401211) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in West Islip, New York and active in the NPI registry since May 2011. The organization holds 2 active CLIA laboratory certificates and lists Elizabeth Marion Jaquay, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1033401211
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameGOOD SAMARITAN HOSPITAL
Location Address1000 MONTAUK HIGHWAYWest Islip, NY 11795
Mailing Address1000 Montauk HighwayWest Islip, NY 11795
Phone(631) 376-3069
Organization SubpartNo
Authorized OfficialElizabeth Marion JaquayOccupational Therapist · (631) 376-3076
Enumeration DateMay 6, 2011
✔ NPI 1033401211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in NY · 0160601
1000 MONTAUK HIGHWAY, West Islip, NY 11795
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0159925

Good Samaritan Hospital Laboratory · West Islip, NY
Active · expires Mar 26, 2027
CLIA Number33D0159925
Laboratory TypeHospital
Certificate Effective DateAugust 28, 1995
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Pratima R. Savargaonkar
Laboratory Phone(631) 376-4057
Laboratory LocationGood Samaritan Hospital Laboratory1000 Montauk Hwy, West Islip, NY 11795
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 33D2166239

Good Samaritan Hospital Medical Center · West Islip, NY
Active · expires Mar 26, 2027
CLIA Number33D2166239
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMay 14, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorPratima R. Savargaonkar
Laboratory Phone(631) 376-4057
Laboratory LocationGood Samaritan Hospital Medical Center111 Beach Drive 1st Floor, West Islip, NY 11795
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRISTY SELVAGGI RPAC
Physician Assistant
1000 MONTAUK HIGHWAY, GOOD SAMARITAN HOSPITAL
WEST ISLIP, NY 11795
Suffolk County (631) 376-4444
WILLIAM M KAINZBAUER MD
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (952) 595-1100
MR. MATTHEW RODERICK MCKENNEY M.D.
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
OLIVIA ROSA JOHN
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
OLUWAPAMILERIN OLAYEMI M.D.
Student in an Organized Health Care Education/Training Program
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4163
DR. CHRISTOPHER MICHAEL BRENNAN M.D.
Internal Medicine
1000 MONTAUK HIGHWAY, HOSPITALIST DEPARTMENT 3RD FLOOR
WEST ISLIP, NY 11795
Suffolk County (631) 376-3610
DR. HEATHER GROOMS DO
Pediatrics
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4444
MICHAEL CHRISTOPHER HILL MBBCH
Radiology (Diagnostic Radiology)
1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
Suffolk County (631) 376-4027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Samaritan Hospital's NPI number?

The NPI number for Good Samaritan Hospital is 1033401211. It was assigned to this organization in the NPPES registry on May 6, 2011.

Where is Good Samaritan Hospital located?

Good Samaritan Hospital is located at 1000 Montauk Highway, West Islip, NY 11795. The listed phone number is (631) 376-3069.

What is Good Samaritan Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

Does Good Samaritan Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Good Samaritan Hospital was last updated on May 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.