Active NPI
Igor Kusayev Medical P.C.
- Anesthesiology Physician
- Manhasset, NY
National Provider Identifier
1194979740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 220339
- Legal business name
- IGOR KUSAYEV MEDICAL P.C.
- Practice address
- 1129 Northern Blvd
Manhasset, NY 11030-3022 - Phone
- (347) 247-6773
- NPI assigned
- Nov 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Igor Kusayev, M.D.
- Title
- Authorized Representative
- Phone
- (347) 247-6773
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 220339 | NY | Primary |
Addresses
Primary practice location
1129 Northern Blvd
Manhasset, NY 11030-3022
Mailing address
11902 83Rd Ave
Kew Gardens, NY 11415-1322
Phone (347) 247-6773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
488 Great Neck Rd
#201
Great Neck, NY 11021
Phone (516) 482-6747
1129 Northern Blvd
#409
Manhasset, NY 11030
Phone (515) 365-7475
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1033150826
-
- Family Medicine Physician
- Glens Falls, NY
- NPI 1407092620
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1972526671
-
- Surgery Physician
- Long Beach, NY
- NPI 1205890977
-
- Urology Physician
- New Hyde Park, NY
- NPI 1962441113
-
- Anesthesiology Physician
- Jamaica, NY
- NPI 1740217371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226275200000",
"number": "1194979740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11902 83RD AVE",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114151322",
"telephone_number": "347-247-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 NORTHERN BLVD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303022",
"telephone_number": "347-247-6773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IGOR KUSAYEV MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-10",
"last_updated": "2008-11-10",
"status": "A",
"authorized_official_last_name": "KUSAYEV",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "347-247-6773",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NY",
"license": "220339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.