SOUTH OAKS HOSPITAL
NPI 1568459204
Psychiatric Hospital in Amityville, NY

Active since September 27, 2005CLIA 33D0714561 · Waiver
400 SUNRISE HWY, AMITYVILLE, NY 11701(631) 264-4000(631) 396-0025 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About South Oaks Hospital NPPES

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

SOUTH OAKS HOSPITAL (NPI 1568459204) is a healthcare organization registered as a psychiatric hospital in Amityville, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Michele L Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1568459204
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameTHE LONG ISLAND HOME
Location Address400 SUNRISE HWYAmityville, NY 11701-2508
Mailing Address400 Sunrise HwyAmityville, NY 11701-2508 · (631) 264-4000 · Fax (631) 396-0025
Fax(631) 396-0025
Organization SubpartNo
Authorized OfficialMichele L CusackSenior Vice President & Cfo · (516) 321-6058
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1568459204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
400 SUNRISE HWY, Amityville, NY 11701

Other Names 1

Doing Business AsSouth Oaks Hospital

Other Identifiers 1

Medicaid00274391NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Oaks Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20110411000230Non-DME Part B · Hospital Department(S)Due dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

123

Medicare enrollment records show 123 clinicians reassign Medicare billing to South Oaks Hospital, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Psychiatry77
Nurse Practitioner42
Internal Medicine3
Clinical Psychologist1

Nearest to this location (20)

See all 123
Psychiatry
NPI 1215103759
400 SUNRISE HIGHWAY
Amityville, NY 11707
(631) 264-4000
✔ PECOSSame address
Nurse Practitioner
NPI 1891050647
400 SUNRISE HWY
Amityville, NY 11701
(631) 608-5900
✔ PECOSSame address
Nurse Practitioner
NPI 1871805598
400 SUNRISE HWY
Amityville, NY 11701
(631) 264-4000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730807074
400 SUNRISE HWY
Amityville, NY 11701
(516) 474-1596
✔ PECOSSame address
Nurse Practitioner
NPI 1568765683
400 SUNRISE HWY
Amityville, NY 11701
(631) 424-7431
✔ PECOSSame address
Psychiatry
NPI 1669519385
400 SUNRISE HWY
Amityville, NY 11701
(631) 608-5204
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1548553217
400 SUNRISE HWY SOUTH OAKS HOSPITAL - CH203
Amityville, NY 11701
(631) 608-5205
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497473748
400 SUNRISE HWY
Amityville, NY 11701
(631) 264-4000
✔ PECOSSame address
Psychiatry
NPI 1932512852
400 SUNRISE HWY
Amityville, NY 11701
(678) 468-2862
✔ PECOSSame address
Psychiatry
NPI 1366708141
400 SUNRISE HWY
Amityville, NY 11701
(646) 417-2172
✔ PECOSSame address
Psychiatry
NPI 1467412965
400 SUNRISE HWY
Amityville, NY 11701
(631) 608-5204
✔ PECOSSame address
Nurse Practitioner
NPI 1821206202
400 SUNRISE HWY
Amityville, NY 11701
(631) 264-4000
✔ PECOSSame address
Psychiatry
NPI 1063400042
400 SUNRISE HWY
Amityville, NY 11701
(631) 608-5620
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1578069563
400 SUNRISE HWY
Amityville, NY 11701
(631) 608-5727
✔ PECOSSame address
Psychiatry
NPI 1174836068
400 SUNRISE HWY RM 307
Amityville, NY 11701
(631) 449-0734
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609394733
400 SUNRISE HWY
Amityville, NY 11701
(631) 608-5610
✔ PECOSSame address
Nurse Practitioner
NPI 1215710165
400 SUNRISE HWY
Amityville, NY 11701
(631) 264-4000
✔ PECOSSame address
Nurse Practitioner
NPI 1275854531
400 SUNRISE HWY
Amityville, NY 11701
(631) 264-4000
✔ PECOSSame address
Nurse Practitioner
NPI 1184163578
400 SUNRISE HWY
Amityville, NY 11701
(631) 608-5610
✔ PECOSSame address
Psychiatry
NPI 1831777804
400 SUNRISE HWY
Amityville, NY 11701
(631) 264-4000
✔ PECOSSame address
See all 123 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D0714561

South Oaks Hospital · Amityville, NY
Active · expires Mar 26, 2027
CLIA Number33D0714561
Laboratory TypeHospital
Certificate Effective DateJuly 23, 2009
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yousset K. Hassoun
Laboratory Phone(631) 608-5102
Laboratory LocationSouth Oaks Hospital400 Sunrise Highway, Amityville, NY 11701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for South Oaks Hosp (CMS certification number 334027), from CMS Care Compare.

South Oaks Hosp

Psychiatric · Amityville, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number334027
Location400 Sunrise HighwayAmityville, NY 11701 · Suffolk County · (516) 264-4000

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 The Long Island Home's NPI number?

The NPI number for The Long Island Home is 1568459204. It was assigned to this organization in the NPPES registry on September 27, 2005. The provider is doing business as South Oaks Hospital.

Where is The Long Island Home located?

The Long Island Home is located at 400 Sunrise Hwy, Amityville, NY 11701. The listed phone number is (631) 264-4000.

What is The Long Island Home's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is The Long Island Home enrolled in Medicare?

Yes. The Long Island Home is registered in the Medicare PECOS enrollment system.

When is The Long Island Home's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Hospital Department(S)) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through The Long Island Home?

According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 4 Medicare specialties reassign their Medicare billing to The Long Island Home. 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 Psychiatry (77), Nurse Practitioner (42) and Internal Medicine (3). Of these, 22 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does The Long Island Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0714561) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is The Long Island Home a Medicare-certified hospital?

Yes. South Oaks Hosp is a Medicare-certified hospital (Psychiatric).

What insurance does The Long Island Home accept?

Health plans from Oscar Health list The Long Island Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Long Island Home was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.