1295742468 NPI number — NORTH SHORE UNIVERSITY HOSPITAL

Table of content: (NPI 1295742468)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295742468 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:
6
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:
1295742468
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 BRUSH HOLLOW RD
Provider Second Line Business Mailing Address:
5TH FLOOR FINANCE, ATTN: MR 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:
NSUH AT SYOSSET HOSPITAL
Provider Second Line Business Practice Location Address:
221 JERICHO TURNPIKE
Provider Business Practice Location Address City Name:
SYOSSET
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-876-6000
Provider Business Practice Location Address Fax Number:
516-876-6600
Provider Enumeration Date:
08/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CUSACK
Authorized Official First Name:
MICHELE
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
SENIOR VICE PRESIDENT & CFO
Authorized Official Telephone Number:
516-321-6058

Provider Taxonomy Codes

  • Taxonomy code: 273R00000X , 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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