Individual provider Active NPI

Emmanuel Lincius Lincifort, NP

  • Nurse Practitioner
  • Manhasset, NY
National Provider Identifier
1164083887
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
665967-1 Issued in NY
Practice address
315 E Shore Rd
Manhasset, NY 11030-2923
Phone
(516) 487-5577
Fax
(516) 303-1260
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 665967-1 NY Primary

Addresses

Primary practice location

315 E Shore Rd
Manhasset, NY 11030-2923

Mailing address

315 E Shore Rd
Manhasset, NY 11030-2923
Phone (516) 487-5577

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
I20200318001783 NY Practitioner - Nurse Practitioner 0244668648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
665967-1NYMDNurse Practitioner

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Mar 1, 2024 Accepting new patients
Dimitri N Kessaris MDPC CurrentSince Feb 3, 2020 Accepting new patients

Locations

2747 Crescent St
Ste 107
Astoria, NY 11102
Phone (718) 728-3200

2747 Crescent St
Ste 201
Astoria, NY 11102
Phone (718) 278-0100

2632 E 14th St
Brooklyn, NY 11235
Phone (347) 707-7009

6902 Austin St
Forest Hills, NY 11375
Phone (516) 423-6141

6902 Austin St
Fl 3
Forest Hills, NY 11375
Phone (718) 544-4443

3739 75th St
Jackson Hts, NY 11372
Phone (718) 505-1177

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

315 E Shore Rd
Manhasset, NY 11030
Phone (516) 773-6611

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1164083887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-487-5577",
            "fax_number": "516-303-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E SHORE RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302923",
            "telephone_number": "516-487-5577",
            "fax_number": "516-303-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCIFORT",
        "first_name": "EMMANUEL",
        "middle_name": "LINCIUS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "665967-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.