Organization Active NPI

North Shore - Lij Radiology Services, PC

  • Diagnostic Radiology Physician
  • Great Neck, NY
National Provider Identifier
1265605752
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTH SHORE - LIJ RADIOLOGY SERVICES, PC
Practice address
935 Northern Blvd
Suite 200
Great Neck, NY 11021-5316
Phone
(516) 829-4414
Fax
(516) 829-7754
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Mrs. Michele Cusak
Title
Cfo
Phone
(516) 829-4414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

935 Northern Blvd
Suite 200
Great Neck, NY 11021-5316

Mailing address

935 Northern Blvd
Suite 200
Great Neck, NY 11021-5316
Phone (516) 829-4414

National Provider Directory

National Provider Directory

Locations

711 Stewart Ave
Garden City South, NY 11530
Phone (516) 227-3254

935 Northern Blvd
Ste 200
Great Neck, NY 11021
Phone (516) 829-4414

925 Northern Blvd
Ste 200
Great Neck, NY 11021

35 Northern Blvd Ste 200
Great Neck, NY 11021

611 Northern Blvd
Ste 250
Great Neck, NY 11021
Phone (516) 233-3456

611 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 325-7000

662 Main St
Islip, NY 11751
Phone (631) 581-1091

300 Community Dr
#1
Manhasset, NY 11030
Phone (212) 342-3882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1265605752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215316",
            "telephone_number": "516-829-4414",
            "fax_number": "516-829-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215316",
            "telephone_number": "516-829-4414",
            "fax_number": "516-829-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE - LIJ RADIOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "CUSAK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-829-4414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.