Individual provider Active NPI

Robert Streisand, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pelham, NY
National Provider Identifier
1962436485
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
099030 Issued in NY
Practice address
28 Birch Ave
Pelham, NY 10803-1002
Phone
(914) 589-0802
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 099030 NY Primary

Addresses

Primary practice location

28 Birch Ave
Pelham, NY 10803-1002

Mailing address

28 Birch Ave
Pelham, NY 10803-1002
Phone (914) 589-0802

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
I20080613000184 NY Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 1456422740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
State University of New York Downstate Medical Center, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Life Health of Ny PCGroup PAC ID 7810161338, 3 clinicians

Practice addresses (Care Compare)

300 E Main St
Suite 1
Smithtown, NY 11787-2900
Phone (631) 656-5544

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
099030NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Health of Garden City Medical PLLC CurrentSince Jul 29, 2019 Accepting new patients
Active Life Health of Ny PC CurrentSince Oct 25, 2017 Accepting new patients
Active Life Health of Garden City Medical PLLC CurrentSince Jul 29, 2019 Accepting new patients
Active Life Health of Ny PC CurrentSince Oct 25, 2017 Accepting new patients

Locations

623 Stewart Ave
Ste 102
Garden City, NY 11530
Phone (516) 331-2082

57 W 57th St
Ste 1603
New York, NY 10019
Phone (646) 586-9333

300 E Main St
Ste 1
Smithtown, NY 11787
Phone (631) 265-3727

363 Route 111
Ste 107B
Smithtown, NY 11787
Phone (631) 656-5544

623 Stewart Ave
Vlg Gdn City, NY 11530
Phone (516) 222-7827

311 North St
Ste 406
White Plains, NY 10605
Phone (914) 785-7752

Interoperability endpoints

  • Direct secure messaging: robert.streisand@direct.hvhc.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1962436485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BIRCH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031002",
            "telephone_number": "914-589-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BIRCH AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108031002",
            "telephone_number": "914-589-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREISAND",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "099030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, NY

Sources for this page

Verify at the official NPI Registry.