Douglas Louis Prisco Sr., M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

126645 Issued in NY

Practice address

3003 New Hyde Park Rd
Ste. 201
New Hyde Park, NY 11042-1214

Phone

(516) 488-2880

Fax

(516) 488-2022

NPI assigned

Jul 21, 2005

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Pulmonary Disease

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart and Lung Associates, PCGroup PAC ID 2466344205, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Heart and Lung Associates, PC

  • Pulmonary Disease Physician
  • Bayside, NY
  • NPI 1053399006
  Medicare reassignment Care Compare group NPD
• Metropolitan Pulmonary, PC

  • Pulmonary Disease Physician
  • New Hyde Park, NY
  • NPI 1003038449
  Authorized official Same address or phone
• For-Med Medical

  dba Astoria Medical Group

  • Legal Medicine
  • Long Island City, NY
  • NPI 1720194012
  NPD (past)
• Ny Pelvic Pain and Minimally Invasive Gynecologic Surgery PC

  • Gynecology Physician
  • New York, NY
  • NPI 1710022140
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1487654323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "STE. 201",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-488-2880",
            "fax_number": "516-488-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 NEW HYDE PARK RD",
            "address_2": "STE. 201",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421214",
            "telephone_number": "516-488-2880",
            "fax_number": "516-488-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISCO",
        "first_name": "DOUGLAS",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "126645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taifa Price, MD
• Primary Care Group LLC
• Primary Partnercare Physicians PLLC
• Prime Connect Media LLC
• Princeton Neurological Institute LLC (United Medical Monitoring)
• Pro Active Health Care PC Medical (Pro Active Health Care Internal Medicine PC)
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Professional Primary Care Physician PLLC
• Progressive Physical Therapy Services, PC

• Pulmonary Disease Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.