You can request a change or amendment by completing and submitting a Request for Amendment of Protected Health Information. Why not? Off site location, Hours of operation: Monday - Friday 9am - 5pm, Phone: (718) 470-8370 This data element may contain the same information as ''Provider location address postal code''. Psychiatry, Psychosomatic Medicine. The NPI Registry and the downloadable files will contain data from the NPPES as reported to NPPES by you, or by someone acting on your behalf, or by an organization provider's Authorized Official. You can complete an authorization by following one of the options listed above. Syosset, NY 11791 Fax: (631) 351-2596, (631) 760-2914 HIPAA and state law consider some treatment information as. Phone: (718) 470-5720 Call. How long will it take to receive the medical records? Fax: (516) 496-6497 Our behavioral health services strive to address the diverse mental health needs of the communities we serve. Basement, Phone: (631) 608-5345 Phone: (212) 434-3431 Call. 99-31 66th Avenue, Suite 707 Zucker Hillside Hospital, specializing in treating surgical, emergency & critical care patients, is an award-winning member of Northwell Health. Plainview, NY 11803 In accordance with federal and New York state laws, there is generally a reasonable cost-based fee if the records are being released for a different purpose. Call for your medical records. Northwell Health protects the confidentiality of patient medical records. Provider Business Practice Location Address Postal Code. Additional phone: (718) 226-9020 www.HIPAASpace.com privacy policies explain how we treat your personal data and protect your privacy If you need assistance with the form, please contact the HIM representative at the facility where you received care. Requests for treatment purposes (continuity of care) will be expedited, all other requests will be processed within designated timeframe. Leadership. You can find your physician’s office contact information in our find a doctor search. Our goal at Zucker Hillside Hospital is to promote wellness and to reintegrate patients back into the community to work, attend school, socialize, and live independently. What if I have a court order for information? when you use our Services. National Provider Identifier: 1285842062. https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand/DataDissemination.html. The first line location address of the provider being identified. (Admitting Department), In-person address: New York, NY 10065, In-person address: This data element may contain the same information as ''Provider location address State name''. 270-05 76th Avenue 100 East 77th Street You may access your available records on the FollowMyHealth patient portal, which allows you to conveniently manage your personal health information. Fax: (718) 343-0958 Your physician may submit a request for your records to the facility where you were treated. The country code in the location address of the provider being identified. If you think somebody is violating your copyrights and want to notify us, you can find information Code describing the type of health care provider that is being assigned an NPI. If you are a minor or unable to sign an authorization, the signature of an authorized legal guardian is required. Email: [email protected], Address: 400 Sunrise Highway Please note, a written request needs to be provided prior to processing. Codes are: You are required to identify whether or not the organization is a subpart. ). Fax: (516) 681-4958, (516) 719-3041 We are Northwell Health—and together, we're raising the standard of health care. The city name in the location address of the provider being identified. 900 Franklin Avenue 101 St. Andrews Lane Your Northwell Health Physician Partners medical record includes, but is not limited to, your medical history, diagnosis and treatment, lab results and reports from previous testing and procedures. Provider First Line Business Mailing Address. Show all locations. : The records of a deceased patient may be obtained by a qualified person upon receipt of a Northwell Health Authorization form along with the following: A copy of the death certificate and a completed distributee affidavit, Letter of testamentary or administration appointing the requestor, There is no fee if the records are being released to a doctor or healthcare provider for treatment purposes (continuity of care. Huntington, NY 11743 400 East Main Street Is there a form I can complete to obtain a copy of my medical records? In the event the records are maintained offsite, the facility will communicate this within 10 days to the requestor and the request will be processed within 30 days of receipt unless extenuating circumstances exist, in which case you will be contacted by HIM/Medical Records Personnel. 375 Seguine Avenue Glen Oaks, NY 11004. Learn more about our amenities and recommendations. and for laboratory inquiries, please contact the location where you received those services; there may be multiple locations to contact for your records. Fax: (516) 562-3918 Plainview, NY 11803  701 North Broadway Your interactions with this site are in accordance with our Terms of Use and Privacy Policy. 4 West 2nd Street Please see the FAQ below for more information. The following information is for you, as the patient, if you would like to request a copy of any portion of your medical records. The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The first name of the authorized official, The title or position of the authorized official. Provider Business Mailing Address State Name. Can I get a statement of hospitalization from your department? Yes, upon receipt of a written request or the. Fax: (631) 686-1466 If the organization is not a subpart of another organization then select a radio button that indicates as ‘No’.

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