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LONG ISLAND JEWISH COMMUNITY RESIDENTS PROGRAM
NPI 1104990928
Community Based Residential Treatment Facility, Mental Illness in New Hyde Park, NY

Active since November 20, 2006
27005 76TH AVE, NEW HYDE PARK, NY 11040(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.

About Long Island Jewish Community Residents Program NPPES

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

LONG ISLAND JEWISH COMMUNITY RESIDENTS PROGRAM (NPI 1104990928) is a healthcare organization registered as a community based residential treatment facility, mental illness in New Hyde Park, New York and active in the NPI registry since November 2006. The organization lists Michele Lee Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1104990928
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameLONG ISLAND JEWISH MEDICAL CENTER
Location Address27005 76TH AVENew Hyde Park, NY 11040-1433
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-6000 · Fax (516) 876-6600
Phone(516) 876-6000
Fax(516) 876-6600
Organization SubpartNo
Authorized OfficialMichele Lee CusackSenior Vice President & Cfo · (516) 876-1386
Enumeration DateNovember 20, 2006
Last NPPES UpdateNovember 28, 2018
✔ NPI 1104990928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
27005 76TH AVE, New Hyde Park, NY 11040
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Other Names 1

Other NameLong Island Jewish Community Residents Program

Other Identifiers 1

Medicaid1321493NY

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.

YELENA PYATOV MD
Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7700
DR. FARHEEN HASAN MD
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
LONG ISLAND JEWISH MEDICAL CENTER
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7875
ELIZABETH ALISON HOWSE M.D.
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
ANDY CHOY MD
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nassau County (973) 692-8694
JOANNA M MIDY WHNP
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-5304
XIXI XU
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
TYLER WEINSTEIN
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000

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 1104990928. It was assigned to this organization in the NPPES registry on November 20, 2006. The provider is also known as Long Island Jewish Community Residents Program.

Where is Long Island Jewish Medical Center located?

Long Island Jewish Medical Center is located at 27005 76th Ave, New Hyde Park, NY 11040. 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 Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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.