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How Do I Apply for the Medicaid Perinatal Care Providers Program?

To apply or make an appointment for the Medicaid Perinatal Care Providers Program you can call the phone numbers listed below. A staff member will be happy to help you with the application process.

Required Documents

Please be sure to bring the following documents:

  • Proof of residency/home address (a recent utility bill or envelope mailed to you that does NOT have a see-through window or label)
  • Proof of birth (original birth certificate, U.S. passport, green card, work permit)
  • Social Security card (if applicable)
  • Proof of family income (must show proof of the last 4 weeks worth of income)
  • Picture identification (for anyone aged 16 and over)

Queens County  
Long Island Jewish Medical Center
270-05 76th Avenue, First Avenue
New Hyde Park, NY 11040
Additional services available are WIC, Nutrition and Family Planning
(718) 470-4400
Forest Hills Hospital
102-01 66th Road, Second Floor
Forest Hills, NY 11375
(718) 830-4770
(718) 830-4771
Nassau County  
North Shore University Hospital at The Irving Goldman Family Care Center
865 Northern Boulevard, Second Floor
Great Neck, NY 11021
(516) 622-5148
Glen Cove Hospital
101 Andrews Lane, Family Practice Unit
Glen Cove, NY 11542
(516) 674-7631
Suffolk County  
Huntington Hospital/Dolan Family Health Center
270 Park Avenue
Huntington, NY 11743
Additional services available are WIC and Nutrition
(631) 425-5245
(631) 425-5254
Richmond County  
Staten Island University Hospital
242 Mason Avenue
Staten Island, NY 10309
Additional services available are WIC, Nutrition and Family Planning
(718) 226-6550


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