Long Island Jewish Medical Center
NPI 1093723488 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Queens Village, NY
Enrolled with Medicare as Part a Provider - End-Stage Renal Disease Facility (esrd) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Long Island Jewish Medical Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center organization in Queens Village, NY (NPI 1093723488).
Provider details
- NPI number
- 1093723488
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Long Island Jewish Medical Center
- Organization subpart
- Yes
- Authorized official
- Michele Cusack, Senior Vice President & Cfo(516) 321-6058
- License
- 7003004H (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- End Stage Renal Dialysis Facility
- Other name
- End Stage Renal Dialysis Facility
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2018-11-28
Frequently asked questions
- What is Long Island Jewish Medical Center's NPI number?
- Long Island Jewish Medical Center's National Provider Identifier (NPI) is 1093723488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Long Island Jewish Medical Center?
- Long Island Jewish Medical Center is classified in the NPPES registry as End-Stage Renal Disease (ESRD) Treatment Clinic/Center (Ambulatory Health Care Facilities).
- Where is Long Island Jewish Medical Center located?
- Long Island Jewish Medical Center's practice location on file with NPPES is 22022 Hillside Avenue, Queens Village, NY 11427-2020.
- What is Long Island Jewish Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Long Island Jewish Medical Center is (516) 876-6000.
- Does Long Island Jewish Medical Center accept Medicare?
- Long Island Jewish Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Long Island Jewish Medical Center?
- The authorized official listed on Long Island Jewish Medical Center's NPPES record is Michele Cusack, Senior Vice President & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Long Island Jewish Medical Center's NPI active?
- Yes — Long Island Jewish Medical Center's NPI (1093723488) is active in the NPPES registry as of the last update on 2018-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.