Individual provider Active NPI

Jeffrey D Hart, DO

  • Orthopaedic Surgery Physician
  • Massapequa, NY
National Provider Identifier
1386801579
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
259570 Issued in NY
Practice address
4200 Sunrise Hwy
Massapequa, NY 11758-5311
Phone
(833) 374-2787
NPI assigned
May 16, 2008
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS12108 FL
Orthopaedic Surgery Physician 207X00000X 259570-01 NY
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 259570 NY
Orthopaedic Surgery Physician 207X00000X 259570 NY Primary

Addresses

Primary practice location

4200 Sunrise Hwy
Massapequa, NY 11758-5311

Mailing address

4200 Sunrise Hwy
Massapequa, NY 11758-5311
Phone (833) 374-2787

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
I20141016000223 NY Practitioner - Orthopedic Surgery 9739329095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York College of Osteo Medicine of New York Institute of Technology, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hart Orthopedic Surgery PCGroup PAC ID 3375019185, 3 clinicians
Jeffrey D. Hart, D.O., P.C.Group PAC ID 9638522428, 3 clinicians

Practice addresses (Care Compare)

2500 Nesconset Hwy
Stony Brook, NY 11790-2555
Phone (833) 374-2787

4200 Sunrise Hwy
Massapequa, NY 11758-5311
Phone (833) 374-2787

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259570NYMDOrthopaedic Surgery Physician
259570-01NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey D. Hart DO PC Orthopaedic Surgery CurrentSince Dec 11, 2023 Accepting new patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC Orthopaedic Surgery CurrentSince Jun 20, 2019 Accepting new patients
Orthopedic Assoc of Long Island Physicians & Medical Group PLLC CurrentSince Jun 20, 2019 Accepting new patients
Orthopedic Associates of Long Island LLP Orthopaedic Surgery CurrentSince Sep 1, 2014 Accepting new patients
Hart Orthopedic Surgery, P.C. Orthopaedic Surgery CurrentSince Apr 13, 2026 Accepting new patients

Locations

6 Technology Dr
Ste 100
East Setauket, NY 11733
Phone (631) 371-2685

4200 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 541-1064

55 Medford Ave
Unit E
Patchogue, NY 11772
Phone (631) 687-4190

2500 Nesconset Hwy
Bldg 11
Stony Brook, NY 11790
Phone (833) 374-2787

Networks

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

Interoperability endpoints

  • Direct secure messaging: jhart@hartorthopedics.emadirect.md
  • Direct secure messaging: jhart389742@northwell.direct-ci.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 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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386801579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "833-374-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SUNRISE HWY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585311",
            "telephone_number": "833-374-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS12108",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "259570-01",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NY",
            "license": "259570",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "259570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.