Individual provider Active NPI

Michael S Drew, M.D.

  • Specialist
  • Forest Hills, NY
National Provider Identifier
1215968557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
133755 Issued in NY
Practice address
7010 Austin St
Ste 103
Forest Hills, NY 11375-4763
Phone
(718) 575-9595
Fax
(718) 575-8456
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 133755 NY Primary

Addresses

Primary practice location

7010 Austin St
Ste 103
Forest Hills, NY 11375-4763

Mailing address

7010 Austin St
Ste 103
Forest Hills, NY 11375-4763
Phone (718) 575-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041223000213 NY Practitioner - Surgical OncologyPractitioner - General Surgery 7315905221 Reassigns benefits to 2 organizations
I20220915002107 NJ Practitioner - General Surgery 7315905221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 23, 2017 Accepting new patients
North Shore Long Island Jewish Healthcare CurrentSince Aug 1, 2009 Accepting new patients
Moises Tenembaum MD & Michael Drew MD PLLC CurrentSince Jul 28, 2005 Accepting new patients
North Shore - Lij Medical PC CurrentSince Oct 23, 2017 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Aug 1, 2009 Accepting new patients
TJH Medical Services, P.C. PastSince Jun 1, 2023 Accepting new patients
Alan P Zeitlin M D and Michael Reich M D PLLC PastSince Jun 1, 2001 Accepting new patients
Forest Hills Medical Wound Care LLC Specialist PastSince May 1, 2006 Accepting new patients
For-Med Medical Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

11120 Queens Blvd
Forest Hills, NY 11375
Phone (718) 263-2208

7010 Austin St
Ste 103
Forest Hills, NY 11375
Phone (212) 996-4000

300 Community Dr
Manhasset, NY 11030

108 E 96th St
New York, NY 10128
Phone (212) 410-6610

27005 76th Ave
North New Hyde Pk, NY 11040

9525 Queens Blvd
Ste A
Rego Park, NY 11374
Phone (718) 925-6210

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215968557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 AUSTIN ST",
            "address_2": "STE 103",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754763",
            "telephone_number": "718-575-9595",
            "fax_number": "718-575-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 AUSTIN ST",
            "address_2": "STE 103",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754763",
            "telephone_number": "718-575-9595",
            "fax_number": "718-575-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "133755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.