Individual provider Active NPI

Mykola Alyskewycz, MD

  • Urology Physician
  • Glen Cove, NY
National Provider Identifier
1316908692
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
197665 Issued in NY
Practice address
10 Medical PLZ
Suite 101
Glen Cove, NY 11542-2193
Phone
(516) 676-2270
Fax
(516) 676-5498
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 197665 NY Primary

Addresses

Primary practice location

10 Medical PLZ
Suite 101
Glen Cove, NY 11542-2193

Mailing address

10 Medical PLZ
Suite 101
Glen Cove, NY 11542-2193
Phone (516) 676-2270

Other identifiers 1

IdentifierTypeStateIssuer
01524730MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000060 NY Practitioner - Urology 9234211210 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York Medical College, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Professionals PLLCGroup PAC ID 6406868462, 91 clinicians
TJH Medical Services PCGroup PAC ID 8527960533, 215 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

10 Medical PLZ
Suite 206
Glen Cove, NY 11542-2101
Phone (516) 676-2270

120 46 Queens Blvd
Kew Gardens, NY 11415
Phone (718) 006-6708

13247 Metropolitan Ave
Richmond Hill, NY 11418-1949
Phone (718) 301-0720

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

89 -40
Jamaica, NY 11418-2832
Phone (718) 206-5200

8900 Van Wyck Expressway
Jamaica, NY 11418-2832

8900 Van Wyck Expressway
4 Floor C Building
Jamaica, NY 11418-2821
Phone (718) 206-6894

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

8906 135TH St
Jamaica, NY 11418-2821

Hospital & facility affiliations

  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181
  • Jamaica Hospital Medical Center Hospital, Jamaica, NY, CCN 330014
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
64.77
Promoting interoperability
79
Improvement activities
40
Cost
70.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles (10 of 14)

OrganizationSpecialtyStatusNew patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients
Jamaica Hospital CurrentSince Sep 15, 2011 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 21, 2008 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jan 21, 2008 Accepting new patients
Jamaica Hospital CurrentSince Sep 15, 2011 Accepting new patients
TJH Medical Services, P.C. Urology CurrentSince Jul 1, 2011 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. Past Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients
Jamaica Hospital Past Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

10 Medical Plz
Ste 206
Glen Cove, NY 11542
Phone (516) 676-2270

10 Medical Plz
Ste 101
Glen Cove, NY 11542
Phone (516) 671-2499

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510

11940 Metropolitan Ave
Kew Gardens, NY 11415
Phone (718) 849-0839

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

27005 76th Ave
North New Hyde Pk, NY 11040

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2500 Nesconset Hwy
Bldg 21A
Stony Brook, NY 11790
Phone (631) 751-4000

Networks

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

Interoperability endpoints

  • Direct secure messaging: mykolaalyskewycz@imppllc.allscriptsdirect.net
  • Direct secure messaging: malyskewycz1973@direct.medisys.org

Organizations & group practices 32

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 32

Hospital & facility affiliations 3

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1316908692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 101",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422193",
            "telephone_number": "516-676-2270",
            "fax_number": "516-676-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "SUITE 101",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422193",
            "telephone_number": "516-676-2270",
            "fax_number": "516-676-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYSKEWYCZ",
        "first_name": "MYKOLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "197665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01524730",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.