North Shore - Lij Anesthesiology, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NORTH SHORE - LIJ ANESTHESIOLOGY, PC

Practice address

480 Bedford Rd BLDG B
Chappaqua, NY 10514-1715

Phone

(914) 666-8866

Fax

(914) 666-6777

NPI assigned

Aug 10, 2016

Last updated

Jul 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michele L Cusack

Title

Senior VP & Cfo

Phone

(516) 321-6058

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

Enrollment records 2

Locations

Practitioners 1,420

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vyachislav Abayev, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1437394574
  Medicare reassignment Care Compare group NPD
• Jason James Canete Abella, M.D

  • Anesthesiology Physician
  • East Meadow, NY
  • NPI 1811420912
  Medicare reassignment Care Compare group NPD
• Nikil Abraham, CRNA

  • Certified Registered Nurse Anesthetist
  • Manhasset, NY
  • NPI 1962180455
  Medicare reassignment Care Compare group NPD
• Zef A Abraham, MD

  • Anesthesiology Physician
  • White Plains, NY
  • NPI 1104836196
  Medicare reassignment Care Compare group NPD
• Elina Abramchayeva, D.O.

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1447695267
  Medicare reassignment Care Compare group NPD
• Mikhail Abramov, MD

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1306921796
  Medicare reassignment Care Compare group NPD
• Jordan Spencer Abrams, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1316573355
  Medicare reassignment Care Compare group NPD
• Matthew C Ackert, MD

  • Anesthesiology Physician
  • Elmhurst, NY
  • NPI 1629091327
  Medicare reassignment Care Compare group NPD
• Zachary M Adler, MD

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1386272615
  Medicare reassignment Care Compare group NPD
• Qanetha A. Ahmed, MD

  • Anesthesiology Physician
  • New Hyde Park, NY
  • NPI 1821677212
  Medicare reassignment Care Compare group NPD
• Shah Nadir Ahmed, MD

  • Anesthesiology Physician
  • Riverhead, NY
  • NPI 1215399902
  Medicare reassignment Care Compare group NPD
• Jane Yonjoo Ahn

  • Anesthesiology Physician
  • Stony Brook, NY
  • NPI 1861020794
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1417401266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417998",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417998",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 BEDFORD RD BLDG B",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141715",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 N Bedford Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mount Kisco",
            "state": "NY",
            "postal_code": "105492555",
            "country_code": "US",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Marcus Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110421069",
            "country_code": "US",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH SHORE - LIJ ANESTHESIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "516-321-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4690557",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "A100160302",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Chappaqua, NY
• Providers in Chappaqua, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.