Individual provider Active NPI

Jill Beth Gressin, DO

  • Emergency Medicine Physician
  • Lynbrook, NY
National Provider Identifier
1902991946
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
208292 Issued in NY
Practice address
585 Merrick Rd
C/O Premier Care
Lynbrook, NY 11563-2311
Phone
(516) 764-2273
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 208292 NY Primary

Addresses

Primary practice location

585 Merrick Rd
C/O Premier Care
Lynbrook, NY 11563-2311

Mailing address

585 Merrick Rd
C/O Premier Care
Lynbrook, NY 11563-2311
Phone (516) 764-2273

Other identifiers 1

IdentifierTypeStateIssuer
O2089985MedicaidNY

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
I20050110000223 NY Practitioner - Emergency Medicine 8729036678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1997
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)

300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208292NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients

Locations

7425 Grand Ave
Elmhurst, NY 11373
Phone (718) 478-8400

656 Wellwood Ave
Lindenhurst, NY 11757
Phone (516) 764-2273

585 Merrick Rd
Lynbrook, NY 11563
Phone (516) 596-2273

300 Community Dr
Fl 1
Manhasset, NY 11030
Phone (516) 562-2252

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Networks

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

Organizations & group practices 4

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 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1902991946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MERRICK RD",
            "address_2": "C/O PREMIER CARE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632311",
            "telephone_number": "516-764-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MERRICK RD",
            "address_2": "C/O PREMIER CARE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632311",
            "telephone_number": "516-764-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESSIN",
        "first_name": "JILL",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "208292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O2089985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.