END STAGE RENAL DIALYSIS FACILITY
NPI 1093723488
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Queens Village, NY

Q: What is Long Island Jewish Medical Center's NPI number?

The NPI number for Long Island Jewish Medical Center is 1093723488. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is also known as End Stage Renal Dialysis Facility.

Q: What is Long Island Jewish Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since August 03, 2006

22022 HILLSIDE AVENUE, QUEENS VILLAGE, NY 11427(516) 876-6000(516) 876-6600 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About End Stage Renal Dialysis Facility NPPES

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

END STAGE RENAL DIALYSIS FACILITY (NPI 1093723488) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Queens Village, New York and active in the NPI registry since August 2006. The organization lists Michele Lee Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1093723488

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameLONG ISLAND JEWISH MEDICAL CENTER

Location Address22022 HILLSIDE AVENUEQueens Village, NY 11427-2020

Mailing Address972 Brush Hollow Rd, 5th Flooor FinanceWestbury, NY 11590-1740 · (516) 876-6000 · Fax (516) 876-6600

Phone(516) 876-6000

Fax(516) 876-6600

Organization SubpartYes

Authorized OfficialMichele Lee CusackSenior Vice President & Cfo · (516) 321-6058

Enumeration DateAugust 3, 2006

Last NPPES UpdateNovember 28, 2018

✔ NPI 1093723488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

License✔ Licensed in NY · 7003004H

22022 HILLSIDE AVENUE, Queens Village, NY 11427

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Other Names 1

Other NameEnd Stage Renal Dialysis Facility

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 Long Island Jewish Medical Center's NPI number?

The NPI number for Long Island Jewish Medical Center is 1093723488. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is also known as End Stage Renal Dialysis Facility.

Where is Long Island Jewish Medical Center located?

Long Island Jewish Medical Center is located at 22022 Hillside Avenue, Queens Village, NY 11427. The listed phone number is (516) 876-6000.

What is Long Island Jewish Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Long Island Jewish Medical Center was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.