Individual provider Active NPI

Yitzhak David Twersky, M.D.

  • Gastroenterology Physician
  • Lawrence, NY
National Provider Identifier
1386625556
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
172791 Issued in NY
Practice address
290 Central Ave
204
Lawrence, NY 11559-8507
Phone
(516) 371-1973
Fax
(516) 239-6866
NPI assigned
Nov 7, 2005
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 172791 NY Primary

Addresses

Primary practice location

290 Central Ave
204
Lawrence, NY 11559-8507

Mailing address

290 Central Ave
204
Lawrence, NY 11559-8507
Phone (516) 371-1973

Other identifiers 1

IdentifierTypeStateIssuer
01274804MedicaidNY

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
I20060106000305 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 9830112770 Reassigns benefits to 2 organizations
Practice locations: Lawrence, NY

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (718) 869-7919

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.83 of 100Reported as group
Quality
78.68
Promoting interoperability
98
Improvement activities
40
Cost
82.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172791NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Aug 25, 2017 Accepting new patients
Seth Benkel, MD, PLLC CurrentSince May 15, 2018 Accepting new patients
Yitzhak D. Twersky M.D., P.C. Gastroenterology PastSince Jan 30, 2012 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Queens Long Island Medical Group, P.C. Past Accepting new patients
NHCC Medical Faculty Practice Plan PC Past Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

712 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-7457

50 W Hawthorne Ave
Fl 2
Valley Stream, NY 11580
Phone (718) 471-0200

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yitzhak.twersky.1@14448.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1386625556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CENTRAL AVE",
            "address_2": "204",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115598507",
            "telephone_number": "516-371-1973",
            "fax_number": "516-239-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CENTRAL AVE",
            "address_2": "204",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115598507",
            "telephone_number": "516-371-1973",
            "fax_number": "516-239-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWERSKY",
        "first_name": "YITZHAK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "172791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01274804",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.