NPIMap

Individual provider Active NPI

Aleksey Etinger, D.O.

  • Hospitalist Physician
  • Glendale, NY
National Provider Identifier
1225304496
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
280493 Issued in NY
Practice address
8713 Myrtle Ave
Glendale, NY 11385-7847
Phone
(718) 971-9509
Fax
(718) 971-1698
NPI assigned
Mar 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB11857000 NJ
Nephrology Physician 207RN0300X 280493 NY
Hospitalist Physician 208M00000X 5671140 ID
Hospitalist Physician 208M00000X 280493 NY Primary

Addresses

Primary practice location

8713 Myrtle Ave
Glendale, NY 11385-7847

Mailing address

8713 Myrtle Ave
Glendale, NY 11385-7847
Phone (718) 971-9509

Other practice location 1

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (732) 783-4746

Other practice location 2

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 385-3230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, ID3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180829000467 NY Practitioner - Internal MedicinePractitioner - NephrologyPractitioner - Hospitalist 5698033256 Reassigns benefits to 4 organizations
I20240409000191 NJ Practitioner - Internal MedicinePractitioner - Hospitalist 5698033256 Reassigns benefits to 1 organization
I20250811001518 ID Practitioner - Hospitalist 5698033256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

Practice addresses (Care Compare)

270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356

30 Prospect Ave
Hackensack, NJ 07601-1915
Phone (551) 996-1288

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

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

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Suffolk Medical PC CurrentSince Apr 15, 2024 Accepting new patients
Yd & Ae Physicians PLLC Internal Medicine Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Apr 16, 2024 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Apr 16, 2024 Accepting new patients
East Flushing Medical PLLC Internal Medicine Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC Internal Medicine CurrentSince Jul 28, 2025 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Internal Medicine Wellbeing PLLC Internal Medicine CurrentSince Apr 17, 2023 Accepting new patients
Southwest Suffolk Medical, P.C. Current Accepting new patients
St. Catherine of Siena Medical Center Past Accepting new patients
Mercy Medical Center Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

672 Dogwood Ave
Franklin Square, NY 11010
Phone (516) 510-4328

8713 Myrtle Ave
#1
Glendale, NY 11385

8713 Myrtle Ave
Glendale, NY 11385
Phone (718) 971-1179

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1225304496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8713 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-971-9509",
            "fax_number": "718-971-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857847",
            "telephone_number": "718-971-9509",
            "fax_number": "718-971-1698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076011915",
            "country_code": "US",
            "telephone_number": "732-783-4746",
            "fax_number": "848-245-8571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-385-3230",
            "fax_number": "208-385-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETINGER",
        "first_name": "ALEKSEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-31",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB11857000",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "280493",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "5671140",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "280493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.