Active NPI
North Shore - Lij Radiology Services, PC
- Diagnostic Radiology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 DirectoryLocations
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.
-
- Nuclear Medicine Physician
- Huntington, NY
- NPI 1639138647
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
- Sharon Nitzberg, MACCC-SLP
- Terri Ann Norden, M.D.
- Norhern Boulevard Neurological Surgery, P.C.
- North Nassau Acupuncture
- North Nassau Endocrinology and Diabetes PLLC
- North Shore Cardiology & Internal Medicine Associates PC
- North Shore Chemists LLC
- North Shore Creative Rehabilitation Center, Inc.
- North Shore Hematology Oncology Associates PC
- North Shore Internal Medicine Associates, P.C.
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.