Andrew Joseph Cotsalas – Family Nurse Practitioner

Key facts

NPI: 1659002244
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: F348290 (NY)
Practice address: 284 Pulaski Rd
Greenlawn, NY 11740-1602
Phone: (631) 425-5250
NPI assigned: Jun 23, 2022
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

North Shore-Lij Medical PC Urology Physician · Great Neck, NY · NPI 1053688572

Medicare reassignment Care Compare group NPD NY

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

North Shore University Hospital General Acute Care Hospital · Manhasset, NY · NPI 1366459570

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2021
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: North Shore-Lij Medical PC (6,374 clinicians)

Practice addresses (Care Compare)

450 Lakeville Rd
New Hyde Park, NY 11042-1118
Phone (516) 734-8500

Hospital & facility affiliations

North Shore University Hospital Hospital · Manhasset, NY · CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score: 93.07 of 100 (apm)
Quality: 79.77
Promoting interoperability: 88.77
Improvement activities: 40

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230220002156	NY	Practitioner - Nurse Practitioner	1557733573	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
F348290	NY	MD	Family Nurse Practitioner

Practice roles (1 of 5)

Organization	Specialty	Status	New patients
North Shore-Lij Medical PC		Current since Nov 11, 2022	Accepting new patients

Locations

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

284 Pulaski Rd
#2
Greenlawn, NY 11740
Phone (631) 271-1608

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

Direct secure messaging: acotsalas61230@northwell.direct-ci.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	F348290	NY	Yes

Addresses

Primary practice location

284 Pulaski Rd
Greenlawn, NY 11740-1602

Mailing address

333 Twin LN S
Wantagh, NY 11793-1915
Phone (516) 462-2730

Other providers in Greenlawn, NY

All providers in Greenlawn, NY · Family Nurse Practitioner in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.