NPIMap

Individual provider Active NPI

Jeffrey Alan Spivak, M.D.

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1609868884
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
191459 Issued in NY
Practice address
488 Great Neck Rd
Suite 330
Great Neck, NY 11021-4308
Phone
(516) 482-6747
Fax
(516) 482-4851
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 191459 NY Primary

Addresses

Primary practice location

488 Great Neck Rd
Suite 330
Great Neck, NY 11021-4308

Mailing address

488 Great Neck Rd
Suite 330
Great Neck, NY 11021-4308
Phone (516) 482-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000191 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375617582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York Downstate Medical Center, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

3003 New Hyde Park Rd
Suite 306
New Hyde Park, NY 11042-1214
Phone (516) 352-0022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191459NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
New York University Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Mar 1, 2019 Accepting new patients
New York University Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

488 Great Neck Rd
Ste 330
Great Neck, NY 11021
Phone (516) 482-6747

488 Great Neck Rd
Ste 300
Great Neck, NY 11021
Phone (516) 482-6747

488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151

3003 New Hyde Park Rd
Ste 306
New Hyde Park, NY 11042
Phone (516) 352-0022

3003 New Hyde Park Rd
Ste 401
New Hyde Park, NY 11042
Phone (516) 224-2400

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

530 1st Ave
Ste 7B
New York, NY 10016
Phone (212) 263-7814

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jeffreyspivak@nslijmedgr.allscriptsdirect.net

Organizations & group practices 5

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 9

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609868884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 GREAT NECK RD",
            "address_2": "SUITE 330",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214308",
            "telephone_number": "516-482-6747",
            "fax_number": "516-482-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 GREAT NECK RD",
            "address_2": "SUITE 330",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214308",
            "telephone_number": "516-482-6747",
            "fax_number": "516-482-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVAK",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "191459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.