Active NPI
Jordan Marc Rush, M.D.
- Gastroenterology Physician
- Wantagh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 253319
- Practice address
- 1488 Wantagh Ave
Wantagh, NY 11793-2204 - Phone
- (516) 785-6800
- NPI assigned
- Jul 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 253319 | NY | Primary |
Addresses
Primary practice location
1488 Wantagh Ave
Wantagh, NY 11793-2204
Mailing address
1488 Wantagh Ave
Wantagh, NY 11793-2204
Phone (516) 785-6800
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120522001284 | NY | Practitioner - Gastroenterology | 0446413835 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- State University of New York at Buffalo School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2155 Wantagh Ave
Wantagh, NY 11793-3915
Phone (516) 785-6800
Hospital & facility affiliations
- Mount Sinai South Nassau
- NYU Langone Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 43 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Gastroenterology | Current | Accepting new patients |
| Diamond Medical Group, P.C. | Gastroenterology | Current | Accepting new patients |
Locations
29 Jericho Tpke
#A
Jericho, NY 11753
Phone (516) 785-6800
187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
1488 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1203
2155 Wantagh Ave
Wantagh, NY 11793
Phone (516) 221-6500
865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- jordan.rush.1@24721.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
Gastroenterology, NY
-
- Gastroenterology Physician
- Wantagh, NY
- NPI 1760664395
Gastroenterology, NY
Hospital & facility affiliations 8
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": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333843200000",
"number": "1306002373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1488 WANTAGH AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932204",
"telephone_number": "516-785-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1488 WANTAGH AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117932204",
"telephone_number": "516-785-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "JORDAN",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-30",
"last_updated": "2012-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "253319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wantagh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.