Active NPI
Carolyn Birnbaum
- Diagnostic Radiology Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 176698
- Practice address
- Nsuh-Dept of Radiology
865 Northern Boulevard
Great Neck, NY 11021 - Phone
- (516) 622-5185
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 176698 | NY | Primary |
Addresses
Primary practice location
Nsuh-Dept of Radiology
865 Northern Boulevard
Great Neck, NY 11021
Mailing address
Nsuh-Dept of Radiology
865 Northern Boulevard
Great Neck, NY 11021
Phone (516) 622-5185
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071211000322 | NY | Practitioner - Diagnostic Radiology | 1254428345 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- State University of New York Downstate Medical Center, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PCSouthside Faculty Medical Affiliates University Faculty Practice Corp
Practice addresses (Care Compare)
1333 Heroes Way
Riverhead, NY 11901-2029
Phone (631) 727-2755
1333 Roanoke Ave
Riverhead, NY 11901-2029
Phone (631) 727-2755
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-2752
221 Jericho Turnpike
Syosset, NY 11791-4515
Phone (516) 496-6500
270 Park Ave
Huntington, NY 11743-2787
Phone (631) 351-2356
300 Community Dr
Manhasset, NY 11030-3816
300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229
330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550
350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845
496 County Rd
111 BLDG F1
Manorville, NY 11949-3388
Phone (631) 405-3240
496 County Rd 111
Manorville, NY 11949-3386
Phone (631) 405-3220
9525 Queens Blvd
Rego Park, NY 11374-4510
Phone (718) 360-5522
Hospital & facility affiliations
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (7 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Faculty Medical Affiliates University Faculty Practice Corp | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| CHS Physician Partners, P.C | Current | Accepting new patients | |
| CHS Physician Partners, PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Momentum Medical Services, PC. | Past | Accepting new patients | |
| Prohealth Care Associates, LLP | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
865 Northern Blvd
Great Neck, NY 11021
Phone (516) 622-5000
2200 Northern Blvd
Ste 118
Greenvale, NY 11548
Phone (516) 563-7910
2200 Northern Blvd
Ste 100C
Greenvale, NY 11548
Phone (516) 325-7400
101 Northern Blvd
Greenvale, NY 11548
Phone (516) 629-2090
1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242
245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141
1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538
300 Community Dr
Plandome, NY 11030
9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
100 Port Washington Blvd
Roslyn, NY 11576
Phone (516) 562-6385
100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800
1220 Hicksville Rd
Seaford, NY 11783
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- cbirnbaum68474@northwell.direct-ci.com
Organizations & group practices 7
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.
-
- Body Imaging Physician
- Seaford, NY
- NPI 1033791058
NY
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Brooklyn, NY
- NPI 1205279031
-
- Physical Therapist
- Carmel, NY
- NPI 1508324898
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": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962530592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NSUH-DEPT OF RADIOLOGY",
"address_2": "865 NORTHERN BOULEVARD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-622-5185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NSUH-DEPT OF RADIOLOGY",
"address_2": "865 NORTHERN BOULEVARD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-622-5185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRNBAUM",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "176698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.