Active NPI
CS Medical Associates, P.C.
- Case Manager/Care Coordinator
- Hicksville, NY
National Provider Identifier
1740186691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- CS MEDICAL ASSOCIATES, P.C.
- Practice address
- 120 Bethpage Rd Ste 103
Hicksville, NY 11801-1515 - Phone
- (631) 921-0757
- NPI assigned
- Oct 16, 2026
- Last updated
- Oct 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Wallace
- Title
- VP Ops
- Phone
- (631) 696-4357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
120 Bethpage Rd Ste 103
Hicksville, NY 11801-1515
Mailing address
1377 Motor Pkwy Ste 102
Islandia, NY 11749-5249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1740186691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 102",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 BETHPAGE RD STE 103",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118011515",
"telephone_number": "631-921-0757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CS MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-16",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "VP OPS",
"authorized_official_telephone_number": "631-696-4357"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.