Jeanine Huysman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

174845 Issued in NY

Practice address

43 Crossways Park Dr
Woodbury, NY 11797-2002

Phone

(516) 938-3000

Fax

(516) 938-3239

NPI assigned

May 31, 2006

Last updated

Nov 19, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Hahnemann University College of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
• Emerest Home Health Care of Long Island Home health agency, Flushing, NY, CCN 337189
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: jeaninehuysman@nslijmedgr.allscriptsdirect.net

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.

• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Queens Long Island Medical Group, P.C.

  dba AdvantageCare Physicians

  • Internal Medicine Physician
  • New York, NY
  • NPI 1891732038
  NPD (past)

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

• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Manhasset, NY
  • NPI 1417965278
  Care Compare affiliation
• North Shore University Hospital

  • Home Health Agency
  • Westbury, NY
  • NPI 1861464471
  Care Compare affiliation
• Royal Care Certified Home Health Care LLC

  • Home Health Agency
  • Flushing, NY
  • NPI 1235529538
  Care Compare affiliation
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1447207634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972002",
            "telephone_number": "516-938-3000",
            "fax_number": "516-938-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972002",
            "telephone_number": "516-938-3000",
            "fax_number": "516-938-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYSMAN",
        "first_name": "JEANINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01297323",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospice Care Network
• Hospice Care Network
• Savita Huded, DDS
• Huntington Hosptial Association (Huntington SNF Practitioners)
• Lauren Huntsman, MSN, RN
• Lisa Duca Hynes, RN
• Hyperbaric Associates of America
• Riham Magdi Kamel Ibrahim, PT
• Inner Reflections Mental Health Counseling P.C.
• Fariba Irani, DDS

• Internal Medicine Physician in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.

Verify at the official NPI Registry.