NPIMap

Individual provider Active NPI

Alissa Jo Burge, M.D.

  • Diagnostic Radiology Physician
  • Manhasset, NY
National Provider Identifier
1386942829
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
253181 Issued in NY
Practice address
300 Community Dr
North Shore Hospital, Department of Radiology
Manhasset, NY 11030-3816
Phone
(516) 562-4797
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 253181 NY Primary

Addresses

Primary practice location

300 Community Dr
North Shore Hospital, Department of Radiology
Manhasset, NY 11030-3816

Mailing address

535 E 70TH St
New York, NY 10021-4823
Phone (516) 562-4797

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address aburge9653@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT, FL4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120719000197 NY Practitioner - Diagnostic Radiology 4385800309 Reassigns benefits to 2 organizations
I20161011000961 NJ Practitioner - Diagnostic Radiology 4385800309 Reassigns benefits to 1 organization
I20161102000529 CT Practitioner - Diagnostic Radiology 4385800309 Reassigns benefits to 2 organizations
I20200214000870 FL Practitioner - Diagnostic Radiology 4385800309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ny Society for the Relief of the Ruptured and CrippledGroup PAC ID 3971526278, 29 clinicians
HSS-Florida Physicians LLCGroup PAC ID 5991032369, 60 clinicians

Practice addresses (Care Compare)

1 Blachley Rd
Stamford, CT 06902-0002
Phone (203) 705-2400

1133 Westchester Ave
White Plains, NY 10604-3516
Phone (212) 606-1000

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 655-5511

140 E Ridgewood Ave
Suite 175S
Paramus, NJ 07652-3917
Phone (201) 599-8000

15 E Midland Ave
Paramus, NJ 07652-2938
Phone (212) 606-1015

168 39TH St
Brooklyn, NY 11232-2549
Phone (212) 774-2474

300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401-2711
Phone (561) 657-4600

535 E 70TH St
New York, NY 10021-4823
Phone (212) 606-1015

Hospital & facility affiliations

  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270
  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101
  • Stamford Hospital Hospital, Stamford, CT, CCN 070006
  • Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Society for the Relief of the Ruptured & Crippled Diagnostic Radiology CurrentSince Jul 6, 2013 Accepting new patients
HSS-Florida Physicians LLC CurrentSince Jan 6, 2020 Accepting new patients
New York Society for the Relief of Ruptured and Crippled Maintaining T Past Accepting new patients

Locations

1 Blachley Rd
Stamford, CT 06902
Phone (203) 705-0750

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

300 Palm Beach Lakes Blvd
West Palm Beach, FL 33401
Phone (561) 657-4600

140 E Ridgewood Ave
Paramus, NJ 07652
Phone (212) 606-1844

140 E Ridgewood Ave
Ste 175S
Paramus, NJ 07652
Phone (201) 599-8000

168 39th St
Brooklyn, NY 11232
Phone (212) 774-2474

17660 Union Tpke
Ste 190
Fresh Meadows, NY 11366
Phone (718) 591-5693

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

610 W 58th St
New York, NY 10019
Phone (212) 774-2474

535 E 70th St
New York, NY 10021

56 Flying Point Rd
Southampton, NY 11968
Phone (631) 377-5900

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

1133 Westchester Ave
White Plains, NY 10604
Phone (914) 358-9700

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • Direct secure messaging: aburge9653@direct.hss.edu
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1386942829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214823",
            "telephone_number": "516-562-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COMMUNITY DR",
            "address_2": "NORTH SHORE HOSPITAL, DEPARTMENT OF RADIOLOGY",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303816",
            "telephone_number": "516-562-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGE",
        "first_name": "ALISSA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "253181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aburge9653@direct.HSS.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.