Active NPI
Cornerstone Medical PC
- Physical Medicine & Rehabilitation Physician
- Oceanside, NY
National Provider Identifier
1780439315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- CORNERSTONE MEDICAL PC
- Practice address
- 2914 Lincoln Ave
Oceanside, NY 11572-2141 - Phone
- (516) 536-2300
- NPI assigned
- Apr 18, 2024
- 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
- Christian Youssef, DO
- Title
- Owner
- Phone
- (347) 962-5207
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
2914 Lincoln Ave
Oceanside, NY 11572-2141
Mailing address
265 Sunrise Hwy Ste 1-815
Rockville Ctr, NY 11570-4912
Phone (516) 536-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290581 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
265 Sunrise Hwy
Ste I
Rockville Centre, NY 11570
265 Sunrise Hwy
Ste 1815
Rockville Ctr, NY 11570
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- White Plains, NY
- NPI 1609138700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1780439315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 SUNRISE HWY STE 1-815",
"city": "ROCKVILLE CTR",
"state": "NY",
"postal_code": "115704912",
"telephone_number": "516-536-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2914 LINCOLN AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722141",
"telephone_number": "516-536-2300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "YOUSSEF",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-962-5207",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "290581",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.