Individual provider Active NPI

Stuart E. Hisler, M.D.

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1053307561
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
139965 Issued in NY
Practice address
2001 Marcus Ave Ste S265
New Hyde Park, NY 11042-1035
Phone
(718) 641-1100
NPI assigned
Sep 21, 2005
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 139965 NY Primary

Addresses

Primary practice location

2001 Marcus Ave Ste S265
New Hyde Park, NY 11042-1035

Mailing address

13529 Lefferts Blvd
South Ozone Park, NY 11420-3601
Phone (718) 641-1100

Other practice location 1

13529 Lefferts Blvd
South Ozone Park, NY 11420-3601
Phone (718) 641-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shisler120982@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000677 NY Practitioner - Internal Medicine 6800910035 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
New York University Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients

Locations

1000 Northern Blvd
Ste 130
Great Neck, NY 11021
Phone (516) 466-5260

2001 Marcus Ave
Ste S265
New Hyde Park, NY 11042
Phone (516) 686-0500

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1053307561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13529 LEFFERTS BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203601",
            "telephone_number": "718-641-1100",
            "fax_number": "718-848-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE S265",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421035",
            "telephone_number": "718-641-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13529 Lefferts Blvd",
            "address_purpose": "LOCATION",
            "city": "South Ozone Park",
            "state": "NY",
            "postal_code": "114203601",
            "country_code": "US",
            "telephone_number": "718-641-1100",
            "fax_number": "718-848-3554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HISLER",
        "first_name": "STUART",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "139965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shisler120982@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "2001 Marcus Ave Ste S265",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.