NPIMap

Individual provider Active NPI

John J Santucci, M.D.

  • Cardiovascular Disease Physician
  • Lake Success, NY
National Provider Identifier
1194728063
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
176343 Issued in NY
Practice address
1999 Marcus Ave
Suite 110
Lake Success, NY 11042-1017
Phone
(516) 355-5525
Fax
(516) 355-5531
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 176343 NY Primary

Addresses

Primary practice location

1999 Marcus Ave
Suite 110
Lake Success, NY 11042-1017

Mailing address

1999 Marcus Ave
New Hyde Park, NY 11042-1033

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsantucci100054@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000451 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0244250348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

1999 Marcus Ave
Suite 120
New Hyde Park, NY 11042-1028
Phone (516) 466-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Feb 1, 2015 Accepting new patients
New York University Cardiovascular Disease CurrentSince Feb 1, 2015 Accepting new patients

Locations

1999 Marcus Ave
Ste 110
New Hyde Park, NY 11042
Phone (516) 355-5525

1999 Marcus Ave
Ste 120
New Hyde Park, NY 11042
Phone (516) 466-6611

1999 Marcus Ave
North New Hyde Park, NY 11042
Phone (516) 233-3701

1300 Union Tpke
Ste 305
North New Hyde Pk, NY 11040
Phone (516) 233-2950

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: jsantucci100054@nyumc.direct-ci.com

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1194728063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MARCUS AVE",
            "address_2": "SUITE 110",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421017",
            "telephone_number": "516-355-5525",
            "fax_number": "516-355-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTUCCI",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "176343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsantucci100054@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "1999 Marcus Ave",
            "address_2": "Suite 110",
            "city": "Lake Success",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110421017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

Verify at the official NPI Registry.