Individual provider Active NPI

Christopher Maurischat, M.D.

  • Emergency Medicine Physician
  • Roslyn, NY
National Provider Identifier
1942397518
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
240764 Issued in NY
Practice address
100 Port Washington Blvd.
Dept. of Emergency Medicine
Roslyn, NY 11576-1353
Phone
(631) 686-7654
Fax
(631) 686-7653
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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 240764 NY Primary

Addresses

Primary practice location

100 Port Washington Blvd.
Dept. of Emergency Medicine
Roslyn, NY 11576-1353

Mailing address

Pob 1470
Port Washington, NY 11050-7470
Phone (516) 562-6605

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
I20070119000338 NY Practitioner - Internal Medicine 1951302868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

656 Wellwood Ave
N
Lindenhurst, NY 11757-1695
Phone (631) 225-4227

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240764NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 6, 2013 Accepting new patients
City Medical of Upper East Side, PLLC PastSince Nov 1, 2013 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

2459 Merrick Rd
Bellmore, NY 11710
Phone (516) 826-2273

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

415 Northern Blvd
#1
Great Neck, NY 11021
Phone (516) 829-2273

3276 Hempstead Tpke
Levittown, NY 11756
Phone (516) 764-2273

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: christopher.maurischat.1@2983.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1942397518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 1470",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110507470",
            "telephone_number": "516-562-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD.",
            "address_2": "DEPT. OF EMERGENCY MEDICINE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761353",
            "telephone_number": "631-686-7654",
            "fax_number": "631-686-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURISCHAT",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "240764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn, NY

Sources for this page

Verify at the official NPI Registry.