Individual provider Active NPI

Marc Jason Ostreicher, M.D.

  • Internal Medicine Physician
  • Cedarhurst, NY
National Provider Identifier
1831420967
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
256063 Issued in NY
Practice address
123 Maple Ave
Suite 202
Cedarhurst, NY 11516-2240
Phone
(516) 374-6363
Fax
(516) 374-6300
NPI assigned
Jan 29, 2010
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 256063 NY Primary

Addresses

Primary practice location

123 Maple Ave
Suite 202
Cedarhurst, NY 11516-2240

Mailing address

123 Maple Ave
Suite 202
Cedarhurst, NY 11516-2240
Phone (516) 374-6363

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
I20110613000338 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8325225709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

123 Maple Ave
Suite 202
Cedarhurst, NY 11516-2240
Phone (516) 374-6363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
41.86 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
67.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256063NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Towns Medicine, P.C. CurrentSince May 8, 2011 Accepting new patients
Five Towns Medicine, PC Current Accepting new patients

Locations

123 Maple Ave
Ste 202
Cedarhurst, NY 11516
Phone (516) 374-6363

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAICDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JAICDD/Endpoint/JAICDD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Highland Care Center, IncJamaica, NY, CCN 335505 Skilled nursing facility 5% Or Greater Direct Ownership Interest (9%) Apr 16, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1831420967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE",
            "address_2": "SUITE 202",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-374-6363",
            "fax_number": "516-374-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE",
            "address_2": "SUITE 202",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-374-6363",
            "fax_number": "516-374-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTREICHER",
        "first_name": "MARC",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-29",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.