Individual provider Active NPI

Saulius J Skeivys, MD

  • Family Medicine Physician
  • Woodside, NY
National Provider Identifier
1619013463
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
178908 Issued in NY
Practice address
5718 Woodside Avenue
Woodside, NY 11377-3444
Phone
(718) 639-3600
Fax
(718) 397-8049
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 178908 NY Primary

Addresses

Primary practice location

5718 Woodside Avenue
Woodside, NY 11377-3444

Mailing address

5718 Woodside Avenue
Woodside, NY 11377-3444
Phone (718) 639-3600

Other identifiers 1

IdentifierTypeStateIssuer
01527577MedicaidNY

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
I20100208000818 NY Practitioner - Family Practice 6507909843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5718 Woodside Ave
Woodside, NY 11377-3415
Phone (718) 639-3600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178908NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saulius J Skeivys MD PC CurrentSince Sep 11, 2002 Accepting new patients
CMC Radiological Services PC Past Accepting new patients
CMC Housestaff Family Medicine Past Accepting new patients

Locations

5718 Woodside Ave
Woodside, NY 11377
Phone (718) 205-0030

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDJJAA/Endpoint/GDJJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDJJAA

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1619013463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 WOODSIDE AVENUE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773444",
            "telephone_number": "718-639-3600",
            "fax_number": "718-397-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 WOODSIDE AVENUE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773444",
            "telephone_number": "718-639-3600",
            "fax_number": "718-397-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEIVYS",
        "first_name": "SAULIUS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "178908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01527577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.