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

Long Island Jewish Medical Center

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1104990928

Long Island Jewish Medical Center is a Mental Illness Community Based Residential Treatment Facility in New Hyde Park, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

27005 76th Ave
New Hyde Park, NY 11040-1433
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

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1104990928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Cusack — Senior Vice President & Cfo · (516) 876-1386
Other names Long Island Jewish Community Residents Program
NPI enumeratedNovember 20, 2006
Last updated in NPPESNovember 28, 2018
Mailing address972 Brush Hollow Rd, Westbury, NY 11590-1740