Individual provider Active NPI

Mark Nyitray, D.O.

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1467457689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
203692 Issued in NY
Practice address
57 Meeting LN
Hicksville, NY 11801-6254
Phone
(516) 796-9595
Fax
(516) 579-6510
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 203692 NY Primary

Addresses

Primary practice location

57 Meeting LN
Hicksville, NY 11801-6254

Mailing address

57 Meeting LN
Hicksville, NY 11801-6254
Phone (516) 796-9595

Other identifiers 1

IdentifierTypeStateIssuer
01903924MedicaidNY

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
I20060227000589 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3375559461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

Practice addresses (Care Compare)

11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000

175 Jericho Tpke
Suite 200
Syosset, NY 11791-4501
Phone (516) 682-0700

366 N Broadway
Suite LW2
Jericho, NY 11753-2027
Phone (516) 750-8000

380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy98
Upper gastrointestinal (GI) endoscopy for acid reflux55

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Nyitray DO, PLLC CurrentSince Mar 23, 2006 Accepting new patients
Digestive Disease Care, PC CurrentSince Jan 1, 2026 Accepting new patients

Locations

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

366 N Broadway
Jericho, NY 11753
Phone (516) 681-5800

366 N Broadway
Ste LW2
Jericho, NY 11753
Phone (516) 407-7395

150 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 450-1400

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

175 Jericho Tpke
Ste 200
Syosset, NY 11791
Phone (212) 775-8388

Organizations & group practices 2

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 2

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467457689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MEETING LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016254",
            "telephone_number": "516-796-9595",
            "fax_number": "516-579-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MEETING LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016254",
            "telephone_number": "516-796-9595",
            "fax_number": "516-579-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYITRAY",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "203692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01903924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.