Individual provider Active NPI

Howard Prusack, MD

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1598744161
Registry record updated Dec 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
160537 Issued in NY
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

Updated by the provider on Dec 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01245110MedicaidNY

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
I20040219000010 NY Practitioner - Anesthesiology 7416842372 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Endoscopy PLLCGroup PAC ID 8921139254, 3 clinicians
Aeandly Ambulatory Endoscopy PLLCGroup PAC ID 3870630130, 4 clinicians
Synergy Endoscopy Medicine PLLCGroup PAC ID 7416493598, 4 clinicians

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

LicenseStateTypeSpecialty
160537NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ae&Ly Ambulatory Endoscopy PLLC CurrentSince Aug 1, 2023 Accepting new patients
Lynbrook Anesthesia Services, PC Anesthesiology CurrentSince Oct 30, 2018 Accepting new patients
Queens Boulevard ASC LLC CurrentSince Oct 16, 2020 Accepting new patients
Sanford Medical Care, PLLC Anesthesiology CurrentSince Feb 3, 2024 Accepting new patients
Fpa Hospital Based CurrentSince Oct 30, 2018 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Fpa Hospital Based Anesthesiology CurrentSince Oct 30, 2018 Accepting new patients
Resource Anesthesiology Associates,PC Anesthesiology CurrentSince Mar 1, 2019 Accepting new patients
Sanford Endoscopy PLLC CurrentSince Feb 3, 2024 Accepting new patients
Synergy Endoscopy Medicine PLLC CurrentSince May 26, 2024 Accepting new patients
New Day Medical PC Anesthesiology CurrentSince Jun 21, 2025 Accepting new patients
Triborough Medical PLLC Anesthesiology CurrentSince Oct 11, 2022 Accepting new patients
Absnec Anesthesiology, PC Anesthesiology CurrentSince Feb 9, 2025 Accepting new patients
Seo Jin Medical Care PC Anesthesiology CurrentSince Nov 6, 2019 Accepting new patients
Star Suites LLC Anesthesiology CurrentSince May 1, 2023 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 PastSince May 1, 2023 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

  • FHIR API: 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.

View all 20

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

Verify at the official NPI Registry.