Gustav Y Cederquist, MD, PHD
Individual provider Active NPI Radiation Oncology Physician · Uniondale, NY
NPI 1043846983 · NPPES record last updated Aug 22, 2025
Key facts
- NPI
- 1043846983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 336912 (NY)
- Practice address
- 1101 Hempstead Tpke
Uniondale, NY 11553-1112 - Phone
- (516) 464-4513
- NPI assigned
- Mar 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Memorial Radiation Oncology Group
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey
MSK Bergen
MSK Monmouth
Practice addresses (Care Compare)
1101 Hempstead Tpke
Uniondale, NY 11553-1112
Phone (516) 559-1000
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
136 Mountain View Blvd
Basking Ridge, NJ 07920-3444
136 Mountainview Blvd
Basking Ridge, NJ 07920-3444
Phone (908) 542-3000
225 Summit Ave
Montvale, NJ 07645-1523
Phone (908) 542-3336
480 Red Hill Rd
Middletown, NJ 07748-3052
Phone (908) 542-3007
500 Westchester Ave
West Harrison, NY 10604-3200
Phone (914) 367-7105
650 Commack Rd
Commack, NY 11725-5404
Phone (631) 623-4300
Hospital & facility affiliations
- Memorial Hospital for Cancer and Allied Diseases
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251001001313 | NY | Practitioner - Radiation Oncology | 0244736072 | Reassigns benefits to 1 organization |
| I20251015003423 | NJ | Practitioner - Radiation Oncology | 0244736072 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12725100 | NJ | MD | Radiation Oncology Physician |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Monmouth | Radiation Oncology | Current |
Accepting new patients |
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Radiation Oncology | Current |
Accepting new patients |
| Memorial Radiation Oncology Group | Radiation Oncology | Current |
Accepting new patients |
| MSK Bergen | Radiation Oncology | Current |
Accepting new patients |
Locations
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007
225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
1101 Hempstead Tpke
Uniondale, NY 11553
Phone (516) 559-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- gcederquist96225@mskcc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 25MA12725100 | NJ | |
| Radiation Oncology Physician | 2085R0001X | 336912 | NY | Yes |
Addresses
Primary practice location
1101 Hempstead Tpke
Uniondale, NY 11553-1112
Mailing address
1101 Hempstead Tpke
Uniondale, NY 11553-1112
Phone (516) 559-6359
Other practice location 1
1275 York Ave
New York, NY 10065-6007
Phone (610) 203-8281
NPI Registry JSON
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1043846983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 HEMPSTEAD TPKE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115531112",
"telephone_number": "516-559-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HEMPSTEAD TPKE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115531112",
"telephone_number": "516-464-4513"
}
],
"practiceLocations": [
{
"address_1": "1275 York Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100656007",
"country_code": "US",
"telephone_number": "610-203-8281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEDERQUIST",
"first_name": "GUSTAV",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-22",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": "25MA12725100",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NY",
"license": "336912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uniondale, NY
- Brittany Nicole Carpenter
- Kesler Carrie
- Cecilia E Castillo
- Joseph W Cavuoto
- CCT Cares, Inc
- Catherine A Chalarca-Gilsoto
- Kevin Kristopher Chaplin
- Chapo Care Solutions
- Stephanie Chapusette-Desir
- Clifford Andrew Charles
All providers in Uniondale, NY · Radiation Oncology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.