Individual provider Active NPI

Gerard J Cusa, M.D.

  • Gastroenterology Physician
  • Hicksville, NY
National Provider Identifier
1619017910
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
156842 Issued in NY
Practice address
400 S Oyster Bay Rd
Suite 302
Hicksville, NY 11801-3500
Phone
(516) 939-0164
Fax
(516) 939-0165
NPI assigned
Feb 7, 2007
Last updated
Oct 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 156842 NY Primary

Addresses

Primary practice location

400 S Oyster Bay Rd
Suite 302
Hicksville, NY 11801-3500

Mailing address

400 S Oyster Bay Rd
Suite 302
Hicksville, NY 11801-3500
Phone (516) 939-0164

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
I20121217000188 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 3072765262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jun 27, 2022 Accepting new patients
Ismail Ozcan MD PC CurrentSince Apr 1, 2016 Accepting new patients
North Shore - Lij Medical PC CurrentSince Jun 27, 2022 Accepting new patients
Gastro Anesthesia Services, PC PastSince Mar 20, 2014 Accepting new patients

Locations

300 Community Dr
Manhasset, NY 11030

122 Portion Rd
Ronkonkoma, NY 11779
Phone (631) 588-6665

378 Syosset Woodbury Rd
Woodbury, NY 11797
Phone (516) 622-7784

415 Crossways Park Dr
Ste E
Woodbury, NY 11797
Phone (516) 838-8400

Interoperability endpoints

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1619017910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD",
            "address_2": "SUITE 302",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-939-0164",
            "fax_number": "516-939-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S OYSTER BAY RD",
            "address_2": "SUITE 302",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013500",
            "telephone_number": "516-939-0164",
            "fax_number": "516-939-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSA",
        "first_name": "GERARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "156842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.