Active NPI
Jennifer M Cushman, MD
- Pain Medicine (Anesthesiology) Physician
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 330156
- Practice address
- 285 Sills Rd Ste F
East Patchogue, NY 11772-4869 - Phone
- (631) 751-3000
- NPI assigned
- Mar 12, 2019
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 330156 | NY | Primary |
Addresses
Primary practice location
285 Sills Rd Ste F
East Patchogue, NY 11772-4869
Mailing address
1 Research Rd
Ridge, NY 11961-2701
Phone (631) 751-3000
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
- Pain Management
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essen Medical Associates, PC | Current | Accepting new patients | |
| House Call Medical Services of New York, PLLC | Current | Accepting new patients | |
| North Shore Hematology Oncology Associates PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Lefferts Medical Associates PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Shakespeare Operating LLC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Instant Medical Care, PC | Past | Accepting new patients |
Locations
1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
1468 Williamsbridge Rd
Bronx, NY 10461
Phone (347) 773-5123
2601 Halperin Ave
Bronx, NY 10461
Phone (718) 365-7877
285 Sills Rd
Ste F
East Patchogue, NY 11772
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
7801 Myrtle Ave
Ste C
Glendale, NY 11385
3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376
26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434
26619 Union Tpke
#3
New Hyde Park, NY 11040
27005 76th Ave
North New Hyde Pk, NY 11040
1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354
1 Research Rd
Ridge, NY 11961
48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 9
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.
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
dba Bronx Treatment Center
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1720634538
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1700922150
-
- Specialist
- Port Jefferson Station, NY
- NPI 1396794574
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Urgent Care Clinic/Center
- Massapequa, NY
- NPI 1548535271
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1609334325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RESEARCH RD",
"city": "RIDGE",
"state": "NY",
"postal_code": "119612701",
"telephone_number": "631-751-3000",
"fax_number": "631-532-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 SILLS RD STE F",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117724869",
"telephone_number": "631-751-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSHMAN",
"first_name": "JENNIFER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-12",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "330156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.