Active NPI
Cheryl Jasmin Eustaquio, M.D.
- Internal Medicine Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 258025
- Practice address
- 75 Beekman St
Plattsburgh, NY 12901-1438 - Phone
- (518) 561-2000
- NPI assigned
- Feb 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 258025 | NY | |
| Internal Medicine Physician | 207R00000X | 258025 | NY | Primary |
Addresses
Primary practice location
75 Beekman St
Plattsburgh, NY 12901-1438
Mailing address
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Other practice location 1
133 Park St
Malone, NY 12953-1244
Phone (518) 483-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8639
133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545
1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7100
Hospital & facility affiliations
- The University of Vermont Health Network - Champl
- Rome Memorial Hospital, Inc
- The University of Vermont Health Network-Alice Hy
- Nicholas H Noyes Memorial Hospital
- Univ. of Vermont - Fletcher Allen Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258025 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas H. Noyes Memorial Hospital | Current | Accepting new patients | |
| St James Hospital | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Hospitalist | Current | Accepting new patients |
| St Josephs Medical PC | Internal Medicine | Current | Accepting new patients |
| Alice Hyde Medical Center | Internal Medicine | Current | Accepting new patients |
| Passaic Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Internal Medicine | Current | Accepting new patients |
| North Medical PC | Internal Medicine | Current | Accepting new patients |
| Rome Memorial Hospital, Inc. | Past | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Past | Accepting new patients |
Locations
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
73 Buffalo St
Ste 100
Canandaigua, NY 14424
111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
1500 N James St
Rome, NY 13440
Phone (315) 338-7000
Interoperability endpoints
- ceustaquio182654@direct.uvmhealth.org
- ceustaquio577581@direct.urmc.rochester.edu
Organizations & group practices 12
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.
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Hospitalist Physician
- Paterson, NJ
- NPI 1144903733
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1437481983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011438",
"telephone_number": "518-561-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011438",
"telephone_number": "518-561-2000"
}
],
"practiceLocations": [
{
"address_1": "133 Park St",
"address_purpose": "LOCATION",
"city": "Malone",
"state": "NY",
"postal_code": "129531244",
"country_code": "US",
"telephone_number": "518-483-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUSTAQUIO",
"first_name": "CHERYL JASMIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "258025",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "258025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.