NPIMap

Organization Active NPI

Cedarhurst Medical PC

  • Radiology Clinic/Center
  • Cedarhurst, NY
National Provider Identifier
1003400508
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CEDARHURST MEDICAL PC
Practice address
650 Central Ave Ste N
Cedarhurst, NY 11516-2301
Phone
(516) 804-8590
Fax
(516) 804-8591
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nelly Osty
Title
Manager
Phone
(516) 804-8590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

650 Central Ave Ste N
Cedarhurst, NY 11516-2301

Mailing address

650 Central Ave Ste N
Cedarhurst, NY 11516-2301
Phone (516) 804-8590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210602000402 NY Part B Supplier - Clinic/Group Practice 1951700517 Receives reassigned benefits from 16 practitioners
Practice locations: North Bellmore, NY

National Provider Directory

National Provider Directory

Locations

650 Central Ave
Ste N
Cedarhurst, NY 11516

2374 Jerusalem Ave
North Bellmore, NY 11710
Phone (516) 409-8311

3400 Brush Hollow Rd
Westbury, NY 11590
Phone (516) 213-1969

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1003400508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CENTRAL AVE STE N",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162301",
            "telephone_number": "516-804-8590",
            "fax_number": "516-804-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CENTRAL AVE STE N",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162301",
            "telephone_number": "516-804-8590",
            "fax_number": "516-804-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARHURST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "OSTY",
        "authorized_official_first_name": "NELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-804-8590"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.