Active NPI
Stuart E. Hisler, M.D.
- Internal Medicine Physician
- New Hyde Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 139965
- 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, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Internal Medicine | Current | Accepting new patients |
| New York University | Internal Medicine | Current | 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.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
Internal Medicine, NY
-
- Internal Medicine Physician
- South Ozone Park, NY
- NPI 1790091023
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Internal Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.