Individual provider Active NPI

Evan Ginsburg, PA

  • Physician Assistant
  • Hicksville, NY
National Provider Identifier
1093168353
Registry record updated Mar 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122000755 NY Practitioner - Physician Assistant 7113206731 Reassigns benefits to 3 organizations

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
Starling Diagnostics LLCGroup PAC ID 6800224759, 19 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117168FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Nov 30, 2020 Accepting new patients
Starling Diagnostics LLC CurrentSince Sep 11, 2025 Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients
California Medical Imaging Associates, Inc PastSince Jan 1, 2021 Accepting new patients

Locations

1480 East Ave
Bronx, NY 10462
Phone (718) 319-1610

300 Community Dr
Manhasset, NY 11030

Interoperability endpoints

  • Direct secure messaging: eginsburg19866@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: evan.ginsburg.p1@direct.southflaortho.nextgenshare.com
  • Direct secure messaging: evan.ginsburg@1056.chartlogic.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.