Individual provider Active NPI

Roxana Horczakiwskyj, MD

  • Student in an Organized Health Care Education/Training Program
  • East Meadow, NY
National Provider Identifier
1932357969
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
200 Carman Ave
Apt. F4
East Meadow, NY 11554-1147
Phone
(516) 465-9110
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

200 Carman Ave
Apt. F4
East Meadow, NY 11554-1147

Mailing address

200 Carman Ave
Apt. F4
East Meadow, NY 11554-1147

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
I20130516000157 NY Practitioner - Anesthesiology 3072750793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Anesthesiologists, PLLCGroup PAC ID 5799677902, 44 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 376-4444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Medical Center Current Accepting new patients
Long Island Anesthesiologists, PLLC CurrentSince Jun 26, 2017 Accepting new patients
Good Samaritan Hospital Medical CurrentSince Mar 1, 2020 Accepting new patients

Locations

369 E Main St
Ste 18
East Islip, NY 11730
Phone (631) 277-1600

210 W Park Ave
Long Beach, NY 11561
Phone (516) 431-4800

510 Broadhollow Rd
Ste 100
Melville, NY 11747
Phone (631) 424-3600

680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400

5650 Sunrise Hwy
Sayville, NY 11782

300 S Oyster Bay Rd
Syosset, NY 11791
Phone (516) 605-2626

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

160 Crossways Park Dr
Woodbury, NY 11797
Phone (516) 364-4200

246 Crossways Park Dr W
Woodbury, NY 11797
Phone (516) 682-8900

Organizations & group practices 3

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 1

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1932357969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARMAN AVE",
            "address_2": "APT. F4",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARMAN AVE",
            "address_2": "APT. F4",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541147",
            "telephone_number": "516-465-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORCZAKIWSKYJ",
        "first_name": "ROXANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.