LISH, INC.
NPI 1417300575
Clinic/Center - Federally Qualified Health Center (FQHC) in Port Jefferson Station, NY
About Lish, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISH, INC. (NPI 1417300575) is a healthcare organization registered as a federally qualified health center (fqhc) in Port Jefferson Station, New York and active in the NPI registry since July 2016. The organization lists James Powell, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lish, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
70Medicare enrollment records show 70 clinicians reassign Medicare billing to Lish, Inc., which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 70Smithtown, NY 11787
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Select Healthcare, Inc.'s NPI number?
The NPI number for Long Island Select Healthcare, Inc. is 1417300575. It was assigned to this organization in the NPPES registry on July 13, 2016. The provider is doing business as Lish, Inc..
Where is Long Island Select Healthcare, Inc. located?
Long Island Select Healthcare, Inc. is located at 33 Terryville Rd, Port Jefferson Station, NY 11776. The listed phone number is (631) 650-2510.
What is Long Island Select Healthcare, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Long Island Select Healthcare, Inc. enrolled in Medicare?
Yes. Long Island Select Healthcare, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Long Island Select Healthcare, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 70 clinicians in 18 Medicare specialties reassign their Medicare billing to Long Island Select Healthcare, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (23), Clinical Social Worker (14) and Physical Therapist in Private Practice (6). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Long Island Select Healthcare, Inc. was last updated on September 27, 2019. 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.
# Lish, Inc. · NPI 1417300575
Federally Qualified Health Center (FQHC) organization in Port Jefferson Station, New York. Organization record, active in the CMS NPPES registry since July 13, 2016.
## Identity
- **NPI:** 1417300575 (Entity type: Organization)
- **Enumerated:** July 13, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Long Island Select Healthcare, Inc.
- **Organization subpart:** No
- **Authorized official:** James Powell, CEO
## Practice location
- **Address:** 33 TERRYVILLE RD, Port Jefferson Station, NY 11776-1331
- **Phone:** (631) 650-2510 · **Fax:** (631) 650-0497
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 70 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (23), Clinical Social Worker (14), Physical Therapist in Private Practice (6); 17 practice within 10 miles; [full list](https://npiprofile.com/npi/1417300575/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417300575) · Data from the CMS NPPES public registry.