North Shore-Lij Medical Group at Huntington PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC

Practice address

2001 Marcus Ave Ste S50
New Hyde Park, NY 11042-1039

Phone

(516) 328-9800

Fax

(516) 328-9801

NPI assigned

Jun 8, 2020

Last updated

Jul 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michele L Cusack

Title

Senior Vice President & Cfo

Phone

(516) 321-6058

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Alcantara, MD

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
  • NPI 1710290127
  Medicare reassignment Care Compare group NPD
• Christopher George Armbruster, NP

  • Family Nurse Practitioner
  • Freeport, NY
  • NPI 1518709567
  Medicare reassignment Care Compare group NPD
• Alfio Carroccio, MD

  • Surgery Physician
  • New York, NY
  • NPI 1346216124
  Medicare reassignment Care Compare group NPD
• Jennifer Sooyon Chang, MD

  • Vascular Surgery Physician
  • New Hyde Park, NY
  • NPI 1649537374
  Medicare reassignment Care Compare group NPD
• Krystina Choinski, MD

  • Vascular Surgery Physician
  • Sleepy Hollow, NY
  • NPI 1538797196
  Medicare reassignment Care Compare group NPD
• Luis Raphael Davila-Santini, M.D.

  • Surgery Physician
  • Bay Shore, NY
  • NPI 1851499958
  Medicare reassignment Care Compare group NPD
• Joann Arena Eisinger, P.A.

  • Surgical Physician Assistant
  • Flushing, NY
  • NPI 1932238300
  Medicare reassignment Care Compare group NPD
• Yana Etkin, M.D.

  • Vascular Surgery Physician
  • New Hyde Park, NY
  • NPI 1952698847
  Medicare reassignment Care Compare group NPD
• Larry A Frankini, MD

  • Vascular Surgery Physician
  • New Hyde Park, NY
  • NPI 1134207467
  Medicare reassignment Care Compare group NPD
• Antonios Gasparis, M.D.

  • Vascular Surgery Physician
  • Huntington, NY
  • NPI 1467471854
  Medicare reassignment Care Compare group NPD
• Gary Giangola, MD

  • Vascular Surgery Physician
  • Staten Island, NY
  • NPI 1801850920
  Medicare reassignment Care Compare group NPD
• Kenneth A Goldstein, MD

  • Vascular Surgery Physician
  • Bronx, NY
  • NPI 1164504320
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1174147979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE S50",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421039",
            "telephone_number": "516-328-9800",
            "fax_number": "516-328-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE S50",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421039",
            "telephone_number": "516-328-9800",
            "fax_number": "516-328-9801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 66th Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752029",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "718-830-1149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1999 Marcus Ave",
            "address_2": "Ste M9",
            "address_purpose": "LOCATION",
            "city": "Lake Success",
            "state": "NY",
            "postal_code": "110421028",
            "country_code": "US",
            "telephone_number": "516-233-3777",
            "fax_number": "516-233-3776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27005 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401402",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "718-343-3429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303816",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "516-562-4821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Community Dr",
            "address_2": "The Alvin and Dorothy Schwartz Ambulatory Surgery Ctr",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303816",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "866-479-4811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Lakeville Rd",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421118",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "516-734-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10002 Rockaway Blvd",
            "address_purpose": "LOCATION",
            "city": "Ozone Park",
            "state": "NY",
            "postal_code": "114172217",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "516-328-9801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9525 Queens Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113744510",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "718-925-6210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115802145",
            "country_code": "US",
            "telephone_number": "516-328-9800",
            "fax_number": "516-256-6329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Podiatric Medicine & Surgery, P.C.
• North Shore Primary Care Medical Associates, PC
• North Shore University Hospital (NSLIJHS Medical Health Home)
• North Shore Vascular and Endovascular PLLC
• North Shore Vein PC
• Northern Obstetrics & Gynecology, PC
• George H Northrup, PH.D.
• Northshore/Lij Health System
• Northwell
• Northwell Dermatology

• Vascular Surgery Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.