Individual provider Active NPI

Neeraj Kaushik, MD

  • Specialist
  • Greenvale, NY
National Provider Identifier
1376517847
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
241494 Issued in NY
Practice address
2200 Northern Blvd Ste 212
Greenvale, NY 11548-1220
Phone
(516) 590-3700
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 241494 NY Primary

Addresses

Primary practice location

2200 Northern Blvd Ste 212
Greenvale, NY 11548-1220

Mailing address

2200 Northern Blvd Ste 212
Greenvale, NY 11548-1220
Phone (516) 437-6900

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
I20070628000536 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 6800841453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Li Gastroenterology Endoscopy PC 6 clinicians

Practice addresses (Care Compare)

2200 Northern Blvd
Suite 212
Greenvale, NY 11548-1220
Phone (516) 636-5010

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181
  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy395
Upper gastrointestinal (GI) endoscopy for acid reflux777

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greenvale Medical Services PC CurrentSince Mar 23, 2019 Accepting new patients
Li Gastroenterology Endoscopy PC CurrentSince Jul 1, 2018 Accepting new patients
Cornerstone Care, Inc Past Accepting new patients
Community Action Medical Services Past Accepting new patients

Locations

2200 Northern Blvd
Ste 212
Greenvale, NY 11548
Phone (516) 590-3700

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1376517847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 212",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481220",
            "telephone_number": "516-437-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHERN BLVD STE 212",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481220",
            "telephone_number": "516-590-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUSHIK",
        "first_name": "NEERAJ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "241494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenvale, NY

Sources for this page

Verify at the official NPI Registry.