Active NPI
Howard Prusack, MD
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 160537
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6504 - Phone
- (800) 627-4470
- Fax
- (412) 937-5710
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 160537 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6504
Mailing address
PO Box 5024
New York, NY 10087-5024
Phone (800) 627-4470
Other practice location 1
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01245110 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13347 Sanford Ave
Suite 1C
Flushing, NY 11355-5816
Phone (817) 461-9779
13633 37TH Ave
FL 7
Flushing, NY 11354-4561
Phone (718) 321-3262
4161 Kissena Blvd
Flushing, NY 11355-3105
Phone (718) 359-2827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160537 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ae&Ly Ambulatory Endoscopy PLLC | Current | Accepting new patients | |
| Lynbrook Anesthesia Services, PC | Anesthesiology | Current | Accepting new patients |
| Queens Boulevard ASC LLC | Current | Accepting new patients | |
| Sanford Medical Care, PLLC | Anesthesiology | Current | Accepting new patients |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients | |
| Fpa Hospital Based | Anesthesiology | Current | Accepting new patients |
| Resource Anesthesiology Associates,PC | Anesthesiology | Current | Accepting new patients |
| Sanford Endoscopy PLLC | Current | Accepting new patients | |
| Synergy Endoscopy Medicine PLLC | Current | Accepting new patients | |
| New Day Medical PC | Anesthesiology | Current | Accepting new patients |
| Triborough Medical PLLC | Anesthesiology | Current | Accepting new patients |
| Absnec Anesthesiology, PC | Anesthesiology | Current | Accepting new patients |
| Seo Jin Medical Care PC | Anesthesiology | Current | Accepting new patients |
| Star Suites LLC | Anesthesiology | Current | Accepting new patients |
| King-Chen Hon Office Based Endoscopy PLLC | Past | Accepting new patients | |
| CMC Radiological Services PC | Past | Accepting new patients | |
| Chris Demetriou MD PC | Past | Accepting new patients | |
| CMC Radiological Services PC | Past | Accepting new patients |
Locations
4939 Brittonfield Pkwy
Ste 211
East Syracuse, NY 13057
Phone (315) 446-4400
13633 37th Ave
Fl 7
Flushing, NY 11354
Phone (718) 321-3262
13347 Sanford Ave
Ste 1C
Flushing, NY 11355
Phone (718) 461-9779
13633 37th Ave
#7
Flushing, NY 11354
13633 37th Ave
Ste 7
Flushing, NY 11354
13602 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-3212
4161 Kissena Blvd
Ste D
Flushing, NY 11355
Phone (718) 359-2827
4161 Kissena Blvd
Ste 3
Flushing, NY 11355
623 Stewart Ave
Ste 101
Garden City, NY 11530
Phone (516) 222-7827
600 Mamaroneck Ave
Ste 301
Harrison, NY 10528
Phone (914) 450-6322
1880 E Jericho Tpke
Huntington, NY 11743
Phone (631) 629-4628
1800 E Jericho Tpke
Huntington, NY 11743
1880 E Jericho Tpke
Fl 1A
Huntington, NY 11743
Phone (631) 629-4628
4604 31st Ave
Long Island City, NY 11103
Phone (718) 545-2100
198 Canal St
Ste 501
New York, NY 10013
Phone (212) 219-8010
40 E 10th St
Ste 1W
New York, NY 10003
Phone (212) 344-9524
9525 Queens Blvd
Frnt 3
Rego Park, NY 11374
Phone (718) 406-8000
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
320 Montauk Hwy
West Islip, NY 11795
Phone (360) 514-9060
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 20
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.
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1609019819
-
- Endoscopy Clinic/Center
- Flushing, NY
- NPI 1356676217
-
- Specialist
- Flushing, NY
- NPI 1003660499
-
- Anesthesiology Physician
- Manhasset, NY
- NPI 1598294266
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Anesthesiology Physician
- Astoria, NY
- NPI 1881871630
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1396131272
-
- Ambulatory Surgical Clinic/Center
- Rego Park, NY
- NPI 1558612762
-
- Anesthesiology Physician
- Harrison, NY
- NPI 1588647200
-
- Anesthesiology Physician
- New York, NY
- NPI 1851729636
-
dba Star Surgical Suites LLC
- Ambulatory Surgical Clinic/Center
- Garden City, NY
- NPI 1023588266
Anesthesiology
-
- Gastroenterology Physician
- Flushing, NY
- NPI 1912060229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545609600000",
"number": "1598744161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5024",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100875024",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "800-627-4470",
"fax_number": "412-937-5710"
}
],
"practiceLocations": [
{
"address_1": "355 Bard Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "10310",
"country_code": "US",
"telephone_number": "718-818-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRUSACK",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2018-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "160537",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01245110",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.