NPIMap

Organization Active NPI

True North Medical of Stony Brook, P.C.

  • Internal Medicine Physician
  • Merrick, NY
National Provider Identifier
1649098203
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRUE NORTH MEDICAL OF STONY BROOK, P.C.
Practice address
2119 Merrick Rd
Merrick, NY 11566-4704
Phone
(516) 377-2820
Fax
(516) 378-2968
NPI assigned
Oct 1, 2024
Last updated
Jul 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Michele L Cusack
Title
Evp & Cfo
Phone
(516) 321-6058

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Family Nurse Practitioner 363LF0000X NU

Addresses

Primary practice location

2119 Merrick Rd
Merrick, NY 11566-4704

Mailing address

522 3Rd St
Brooklyn, NY 11215-3003
Phone (718) 768-8500

Other names 1

  • LONG ISLAND JEWISH MEDICAL CENTER Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250110000687 NY Part B Supplier - Clinic/Group Practice 8022546647 Receives reassigned benefits from 14 practitioners
Practice locations: Brooklyn, NY; Merrick, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1649098203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153003",
            "telephone_number": "718-768-8500",
            "fax_number": "833-984-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664704",
            "telephone_number": "516-377-2820",
            "fax_number": "516-378-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE NORTH MEDICAL OF STONY BROOK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "CUSACK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EVP & CFO",
        "authorized_official_telephone_number": "516-321-6058"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG ISLAND JEWISH MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.