Individual provider Active NPI

Cecilia Natalia Esteban Birisan, M.D.

  • Colon & Rectal Surgery Physician
  • Woodbury, NY
National Provider Identifier
1740694157
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
312905 Issued in NY
Practice address
321B Crossways Park Dr
Woodbury, NY 11797-2066
Phone
(631) 470-1450
Fax
(631) 470-1451
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 25MA10815500 NJ
Colon & Rectal Surgery Physician 208C00000X 312905 NY Primary

Addresses

Primary practice location

321B Crossways Park Dr
Woodbury, NY 11797-2066

Mailing address

321B Crossways Park Dr
Woodbury, NY 11797-2066
Phone (631) 470-1450

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
I20211027003094 NY Practitioner - Colorectal Surgery (Proctology) 3173827367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
University of Virginia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

101 Saint Andrews LN
Glen Cove, NY 11542-2254
Phone (631) 675-4550

1111 Marcus Ave
New Hyde Park, NY 11042-1034

222 E Middle Country Rd
Smithtown, NY 11787-2871
Phone (631) 968-8268

270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356

284 Pulaski Rd
Suite 2
Greenlawn, NY 11740-1602
Phone (631) 670-3456

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

301 E Main St
Bay Shore, NY 11706-8408

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

39 Brentwood Rd
Bay Shore, NY 11706-8010
Phone (631) 666-5864

400 W Main St
Babylon, NY 11702-3012
Phone (631) 591-7460

888 Old Country Rd
Plainview, NY 11803-4914
Phone (516) 719-3000

Hospital & facility affiliations

  • Peconic Bay Homehealth Services Home health agency, Riverhead, NY, CCN 337400
  • NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Northwell Hospital Glen Cove Hospital, Glen Cove, NY, CCN 330181
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312905NYMDLicensed Practical Nurse
25MA10815500NJMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Colon & Rectal Surgery CurrentSince Oct 1, 2021 Accepting new patients
South Shore University Hospital Past Accepting new patients
Huntington Hospital Association Past Accepting new patients
Associated Colon & Rectal Surgeons, P.a. PastSince Aug 1, 2020 Accepting new patients
Practice Associates Medical Group PastSince Aug 1, 2020 Accepting new patients

Locations

400 W Main St
Ste 301
Babylon, NY 11702
Phone (631) 470-1451

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

300 Community Dr
Plandome, NY 11030

222 E Middle Country Rd
Ste 108
Smithtown, NY 11787
Phone (631) 706-2800

222 E Middle Country Rd
Ste 211
Smithtown, NY 11787
Phone (631) 470-1451

972 Brush Hollow Rd
Westbury, NY 11590

321 Crossways Park Dr
Ste B
Woodbury, NY 11797
Phone (631) 470-1450

Networks

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

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740694157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321B CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972066",
            "telephone_number": "631-470-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321B CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972066",
            "telephone_number": "631-470-1450",
            "fax_number": "631-470-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRISAN",
        "first_name": "CECILIA NATALIA",
        "middle_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA10815500",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "312905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.