Active NPI
Giuseppe Condemi, M.D., PH.D.
- Medical Oncology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 221674
- Practice address
- 215 E 95TH St FRNT 2
New York, NY 10128-4077 - Phone
- (718) 732-4049
- NPI assigned
- May 25, 2006
- Last updated
- Oct 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 25MA07282200 | NJ | |
| Medical Oncology Physician | 207RX0202X | 221674 | NY | Primary |
Addresses
Primary practice location
215 E 95TH St FRNT 2
New York, NY 10128-4077
Mailing address
1 Research Rd
Ridge, NY 11961-2701
Phone (631) 751-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109941 | Medicaid | NJ | |
| 7511400 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Route 112
Port Jefferson Station, NY 11776-8054
Phone (631) 751-3000
48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07282200 | NJ | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Hematology Oncology Associates PC | Specialist | Current | Accepting new patients |
| North Shore Hematology Oncology Associates PC | Hematology & Oncology | Current | Accepting new patients |
Locations
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
215 E 95th St
Frnt 2
New York, NY 10128
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
1 Research Rd
Ridge, NY 11961
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
dba Ny Cancer & Blood Specialists
- Hematology & Oncology Physician
- New York, NY
- NPI 1558185942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1083660781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RESEARCH RD",
"city": "RIDGE",
"state": "NY",
"postal_code": "119612701",
"telephone_number": "631-751-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E 95TH ST FRNT 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101284077",
"telephone_number": "718-732-4049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDEMI",
"first_name": "GIUSEPPE",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NJ",
"license": "25MA07282200",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NY",
"license": "221674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109941",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7511400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.