Individual provider Active NPI

David Shusterman, M.D.

  • Urology Physician
  • New York, NY
National Provider Identifier
1215138342
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
244228 Issued in NY
Practice address
800 2ND Ave
9TH Floor
New York, NY 10017-4709
Phone
(212) 991-9991
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 244228 NY Primary

Addresses

Primary practice location

800 2ND Ave
9TH Floor
New York, NY 10017-4709

Mailing address

800 2ND Ave
9TH Floor
New York, NY 10017-4709
Phone (212) 991-9991

Other practice location 1

6915 Yellowstone Blvd
Suite 4
Forest Hills, NY 11375-9406
Phone (718) 360-9550

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
I20070720000288 NY Practitioner - Urology 6305947391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
State University of New York at Stony Brook, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Physicians P CGroup PAC ID 0042403404, 10 clinicians

Practice addresses (Care Compare)

6915 Yellowstone Blvd
Suite 4
Forest Hills, NY 11375-3787
Phone (718) 360-9550

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Advanced Physicians P C Urology CurrentSince Mar 31, 2010 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Advanced Physician Medicine PLLC Urology PastSince Mar 14, 2013 Accepting new patients

Locations

6915 Yellowstone Blvd
Ste 4
Forest Hills, NY 11375
Phone (718) 360-9550

6915 Yellowstone Blvd
Ste 1
Forest Hills, NY 11375
Phone (718) 268-4500

6915 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 268-4500

6915 Yellowstone Blvd
Ste BB1
Forest Hills, NY 11375

800 2nd Ave
New York, NY 10017
Phone (646) 918-7363

800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257

9530 Queens Blvd
Rego Park, NY 11374
Phone (973) 735-1231

Networks

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

Interoperability endpoints

  • Direct secure messaging: davidshusterman@mai.allscriptsdirect.net

Organizations & group practices 4

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1215138342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 2ND AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "212-991-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 2ND AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174709",
            "telephone_number": "212-991-9991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6915 Yellowstone Blvd",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113759406",
            "country_code": "US",
            "telephone_number": "718-360-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUSTERMAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "244228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.