MEDICARE: LONG ISLAND JEWISH MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	7003004H	NY

General Provider Information

NPI Number	:	1093723488
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LONG ISLAND JEWISH MEDICAL CENTER

Provider Business Mailing Address
First Line	:	972 BRUSH HOLLOW RD
Second Line	:	5TH FLOOOR FINANCE
City	:	WESTBURY
State	:	NY
Zip	:	11590-1740
Country	:	US
Telephone Number	:	516-876-6000
Fax Number	:	516-876-6600

Provider Business Practice Location Address
First Line	:	22022 HILLSIDE AVENUE
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11427-2020
Country	:	US
Telephone Number	:	516-876-6000
Fax Number	:	516-876-6600

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT & CFO
Name	:	MRS. MICHELE LEE CUSACK
Credential	:
Telephone Number	:	516-321-6058

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	11/28/2018

Similar Medicare Providers

1053442764 — DR. CLIFF ROGERS D.D.S.
Practice Location Address:

22024 HILLSIDE AVE
QUEENS VILLAGE, NY
11427-2020

Practice Phone: 718-479-7100
Practice Fax:

1467641449 — MISS MARILYN BIEN-AIME APN
Practice Location Address:

22022 HILLSIDE AVE
QUEENS VILLAGE, NY
11427-2020

Practice Phone: 718-975-7300
Practice Fax: 718-464-7508

1578898623 — DR. MARC BLUMENTHAL DDS
Practice Location Address:

22024 HILLSIDE AVE
QUEENS VILLAGE, NY
11427-2020

Practice Phone: 718-479-7100
Practice Fax: 718-479-1556

1588944326 — HILLSIDE PHARMACY INC
Practice Location Address:

22036 HILLSIDE AVE
QUEENS VILLAGE, NY
11427-2020

Practice Phone: 718-264-2222
Practice Fax: 718-264-2221

1699124974 — ARIFEE ASSOCIATES INC
Practice Location Address:

22036 HILLSIDE AVE
QUEENS VILLAGE, NY
11427-2020

Practice Phone: 718-264-2222
Practice Fax: 718-264-2221

1730923962 — SARAH SAMUEL
Practice Location Address:

22036 HILLSIDE AVE
QUEENS VILLAGE, NY
11427-2020

Practice Phone: 718-264-2222
Practice Fax:

Directions to “LONG ISLAND JEWISH MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.