CORNERSTONE OF MEDICAL ARTS CENTER HOSPITAL - NPI 1316112097 - Substance Abuse Rehabilitation Facility in Flushing, NY

Q: What is Cornerstone Of Medical Arts Center Hospital's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

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About Cornerstone Of Medical Arts Center Hospital NPPES

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

CORNERSTONE OF MEDICAL ARTS CENTER HOSPITAL (NPI 1316112097) is a healthcare organization registered as a substance abuse rehabilitation facility in Flushing, New York and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Sami Kaddouri, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1316112097

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameCORNERSTONE OF MEDICAL ARTS CENTER HOSPITAL

Location Address15905 UNION TPKEFlushing, NY 11366

Mailing Address15905 Union TpkeFlushing, NY 11366 · (718) 906-6700

Phone(718) 906-6700

Organization SubpartNo

Authorized OfficialSami KaddouriMedical Director · (718) 906-6700

Enumeration DateApril 24, 2008

Last NPPES UpdateMay 8, 2008

✔ NPI 1316112097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in NY · F303637

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

15905 UNION TPKE, Flushing, NY 11366

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CLIA Laboratory Certificates CMS CLIA

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 Waiver 33D0903406

Cornerstone Of Medical Arts Center Hospital · Fresh Meadows, NY

Active · expires Mar 26, 2027

CLIA Number33D0903406

Laboratory TypeOther

Certificate Effective DateMay 15, 2004

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Cindy C. Grubin

Laboratory Phone(718) 906-6700

Laboratory LocationCornerstone Of Medical Arts Center Hospital159-05 Union Turnpike, Fresh Meadows, NY 11366

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MEDICAL ARTS SANITARIUM, INC.

Rehabilitation, Substance Use Disorder Unit