Individual provider Active NPI

Alexander Bershadskiy, M.D.

  • Hematology & Oncology Physician
  • Brooklyn, NY
National Provider Identifier
1407016116
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
263136 Issued in NY
Practice address
500 4TH Ave Ste 1
Brooklyn, NY 11215-6928
Phone
(718) 280-1820
Fax
(718) 280-1822
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 263136 NY Primary

Addresses

Primary practice location

500 4TH Ave Ste 1
Brooklyn, NY 11215-6928

Mailing address

500 4TH Ave Ste 1
Brooklyn, NY 11215-6928
Phone (718) 280-1820

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
I20150311000619 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5395061303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

256 Mason Ave
C
Staten Island, NY 10305-3408
Phone (718) 226-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.07 of 100Reported as group
Quality
57.91
Promoting interoperability
77
Improvement activities
40
Cost
80.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of University Hospital, PC CurrentSince Dec 1, 2015 Accepting new patients
Physicians of University Hospital, PC CurrentSince Dec 1, 2015 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jun 1, 2019 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Hematology & Oncology CurrentSince Aug 15, 2021 Accepting new patients

Locations

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

300 Community Dr
Plandome, NY 11030

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

1 Edgewater St
Fl 6
Staten Island, NY 10305
Phone (718) 226-1047

401 Seaview Ave
Lowr
Staten Island, NY 10305
Phone (718) 226-6186

256 Mason Ave
Fl 2
Staten Island, NY 10305
Phone (718) 226-1362

242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458

256 Mason Ave
#C
Staten Island, NY 10305
Phone (718) 226-1251

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: abershadskiy65856@northwell.direct-ci.com

Organizations & group practices 4

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 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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1407016116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 4TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156928",
            "telephone_number": "718-280-1820",
            "fax_number": "718-280-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 4TH AVE STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156928",
            "telephone_number": "718-280-1820",
            "fax_number": "718-280-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSHADSKIY",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "263136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.