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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (92 clinicians)
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey (230 clinicians)
MSK Bergen (254 clinicians)
MSK Monmouth (300 clinicians)

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 Hospital · New York, NY · CCN 330154

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
25MA12725100NJMDRadiation Oncology Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
MSK Monmouth Radiation Oncology Current
since Aug 11, 2025
Accepting new patients
Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey Radiation Oncology Current
since Aug 11, 2025
Accepting new patients
Memorial Radiation Oncology Group Radiation Oncology Current
since Aug 11, 2025
Accepting new patients
MSK Bergen Radiation Oncology Current
since Aug 11, 2025
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

  • Direct secure messaging: gcederquist96225@mskcc.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2025.

{
    "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

All providers in Uniondale, NY · Radiation Oncology Physician in New York

Sources for this page

Verify at the official NPI Registry.