Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Long Island Jewish Medical Center

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1093723488

Long Island Jewish Medical Center is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Queens Village, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

22022 Hillside Ave
Queens Village, NY 11427-2020
Phone: (516) 876-6000
Fax: (516) 876-6600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X · Licence 7003004H (NY)

Record details

NPI number1093723488
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLong Island Jewish Medical Center
Authorized official Michele Cusack — Senior Vice President & Cfo · (516) 321-6058
Other names End Stage Renal Dialysis Facility; End Stage Renal Dialysis Facility
NPI enumeratedAugust 3, 2006
Last updated in NPPESNovember 28, 2018
Mailing address972 Brush Hollow Rd, 5th Flooor Finance, Westbury, NY 11590-1740

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