Individual provider Active NPI

Annemarie Stroustrup, M.D., M.P.H.

  • Neonatal-Perinatal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1720101975
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
242108 Issued in NY
Practice address
Cohen Children'S Medical Center
269-01 76TH Avenue, Nicu
New Hyde Park, NY 11040
Phone
(718) 470-3440
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 242108 NY
Neonatal-Perinatal Medicine Physician 2080N0001X 242108 NY Primary

Addresses

Primary practice location

Cohen Children'S Medical Center
269-01 76TH Avenue, Nicu
New Hyde Park, NY 11040

Mailing address

Cohen Children'S Medical Center
269-01 76TH Avenue, Nicu CH 346
New Hyde Park, NY 11040
Phone (718) 470-3440

Other names 1

  • Annemarie Stroustrup Smith Professional name

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
I20120803000301 NY Practitioner - Pediatric Medicine 4082860200 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Pediatrics CurrentSince Mar 1, 2012 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Mar 1, 2012 Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients

Locations

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

1176 5th Ave
Fl 3
New York, NY 10029
Phone (212) 241-5517

5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410

Networks

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

Interoperability endpoints

  • Direct secure messaging: astroustrup66871@northwell.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1720101975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COHEN CHILDREN'S MEDICAL CENTER",
            "address_2": "269-01 76TH AVENUE, NICU CH 346",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COHEN CHILDREN'S MEDICAL CENTER",
            "address_2": "269-01 76TH AVENUE, NICU",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "718-470-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUSTRUP",
        "first_name": "ANNEMARIE",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "242108",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NY",
            "license": "242108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNEMARIE",
            "last_name": "STROUSTRUP SMITH",
            "credential": "M.D., M.P.H.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.