Individual provider Active NPI

Jack F. Mlabasati, MD

  • Gastroenterology Physician
  • Manhasset, NY
National Provider Identifier
1093373367
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
315516 Issued in NY
Practice address
444 Community Dr Ste 302
Manhasset, NY 11030-3820
Phone
(516) 387-6826
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 315516 NY Primary

Addresses

Primary practice location

444 Community Dr Ste 302
Manhasset, NY 11030-3820

Mailing address

444 Community Dr Ste 302
Manhasset, NY 11030-3820
Phone (516) 387-6826

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
I20250210002168 NY Practitioner - Gastroenterology 2163758087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Drexel University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua Berkowitz MD Medical PCGroup PAC ID 0244668374, 2 clinicians

Practice addresses (Care Compare)

123 Maple Ave
Lowr Level
Cedarhurst, NY 11516-2240
Phone (516) 374-0700

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (516) 374-0700

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 374-0700

Hospital & facility affiliations

  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Upper gastrointestinal (GI) endoscopy for acid reflux30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Berkowitz MD Medical PC Gastroenterology CurrentSince Nov 30, 2024 Accepting new patients
Rockaway Internal Medicine PLLC Past Accepting new patients

Locations

123 Maple Ave
Lowr
Cedarhurst, NY 11516
Phone (516) 295-6841

444 Community Dr
Ste 302
Manhasset, NY 11030
Phone (516) 387-6826

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1093373367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR STE 302",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303820",
            "telephone_number": "516-387-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 COMMUNITY DR STE 302",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303820",
            "telephone_number": "516-387-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLABASATI",
        "first_name": "JACK",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "315516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.