Individual provider Active NPI

Michael L Hundert, MD

  • Internal Medicine Physician
  • Little Neck, NY
National Provider Identifier
1063595023
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
128877 Issued in NY
Practice address
46-19 Little Neck Pkwy
Little Neck, NY 11362
Phone
(718) 428-7400
Fax
(718) 428-7405
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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 128877 NY Primary

Addresses

Primary practice location

46-19 Little Neck Pkwy
Little Neck, NY 11362

Mailing address

46-19 Little Neck Pkwy
Little Neck, NY 11362
Phone (718) 428-7400

Other identifiers 2

IdentifierTypeStateIssuer
00416748MedicaidNY
337802OtherNYMEDICARE BLUE CROSS

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
I20120111000010 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8224204417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Rush Medical College of Rush University, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Michael L. Hundert M.D. P.C.Group PAC ID 4183522287, 2 clinicians

Practice addresses (Care Compare)

46 -19 Little Neck Pkwy
Little Neck, NY 11362-1428
Phone (718) 428-7400

Hospital & facility affiliations

  • Catholic Home Care Home health agency, Farmingdale, NY, CCN 337147
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128877NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L. Hundert M.D. P.C. Internal Medicine CurrentSince Jun 3, 1994 Accepting new patients

Locations

4619 Little Neck Pkwy
Little Neck, NY 11362
Phone (718) 428-7400

Organizations & group practices 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1063595023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-19 LITTLE NECK PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-428-7400",
            "fax_number": "718-428-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-19 LITTLE NECK PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-428-7400",
            "fax_number": "718-428-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDERT",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "128877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00416748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BLUE CROSS",
            "identifier": "337802",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

Verify at the official NPI Registry.