Active NPI
Evan Ginsburg, PA
- Physician Assistant
- Hicksville, NY
National Provider Identifier
1093168353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 81 N Broadway
Hicksville, NY 11801-2920 - Phone
- (516) 933-4350
- Fax
- (516) 933-4352
- NPI assigned
- Jul 21, 2016
- Last updated
- Mar 31, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Physician Assistant | 363A00000X | PA9117168 | FL |
Addresses
Primary practice location
81 N Broadway
Hicksville, NY 11801-2920
Mailing address
81 N Broadway
Hicksville, NY 11801-2920
Phone (516) 933-4350
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1480 E Ave
Bronx, NY 10462-7502
Phone (973) 713-8623
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9117168 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Starling Diagnostics LLC | Current | Accepting new patients | |
| South Florida Orthopaedics & Sports Medicine,PA | Past | Accepting new patients | |
| California Medical Imaging Associates, Inc | Past | Accepting new patients |
Locations
1480 East Ave
Bronx, NY 10462
Phone (718) 319-1610
300 Community Dr
Manhasset, NY 11030
Interoperability endpoints
- eginsburg19866@jupitermedicalcenter.direct-ci.com
- evan.ginsburg.p1@direct.southflaortho.nextgenshare.com
- evan.ginsburg@1056.chartlogic.direct-ci.com
- https://fhir4.healow.com/fhir/r4/IHGFCD
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1497397152
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Orthopaedic Surgery Physician
- Hicksville, NY
- NPI 1386886984
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1821234899
-
- Durable Medical Equipment & Medical Supplies
- Stuart, FL
- NPI 1639220700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711843200000",
"number": "1093168353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 N BROADWAY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118012920",
"telephone_number": "516-933-4350",
"fax_number": "516-933-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 N BROADWAY",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118012920",
"telephone_number": "516-933-4350",
"fax_number": "516-933-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINSBURG",
"first_name": "EVAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-21",
"last_updated": "2024-03-31",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9117168",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.