1417965278 NPI number — NORTH SHORE UNIVERSITY HOSPITAL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417965278 NPI number — NORTH SHORE UNIVERSITY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH SHORE UNIVERSITY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1417965278
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
972 BUSH HOLLOW ROAD
Provider Second Line Business Mailing Address:
5TH FLOOR FINANCE, ATTN: WILLIAM J. FUCHS
Provider Business Mailing Address City Name:
WESTBURY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11590-1740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-876-6000
Provider Business Mailing Address Fax Number:
516-876-6600

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 COMMUNITY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANHASSET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11030-3816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-876-6600
Provider Business Practice Location Address Fax Number:
516-876-6600
Provider Enumeration Date:
08/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHAPIRO
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
S
Authorized Official Title or Position:
EXECUTIVE VP, CFO
Authorized Official Telephone Number:
516-326-6025

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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