Magdalena Pomykol-Petryk, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

205217 Issued in NY

Practice address

270 Pulaski Rd
Suite D
Greenlawn, NY 11740-1605

Phone

(631) 427-6060

Fax

(631) 549-4858

NPI assigned

Feb 17, 2006

Last updated

Mar 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

HematologyAlso: Medical Oncology

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Shore Health System Medical Faculty Group Practice IncGroup PAC ID 8022417328, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
• NS/Lij HS Huntington Hospital Hospital, Huntington, NY, CCN 330045
• North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
• NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Merit-based Incentive Payment System (MIPS)

Final score

79.07 of 100Reported as group

Quality

57.91

Promoting interoperability

77

Improvement activities

40

Cost

80.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: mpomykolpetryk65876@northwell.direct-ci.com

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.

• North Shore Health System Medical Faculty Group Practice Inc

  • Hematology & Oncology Physician
  • New Hyde Park, NY
  • NPI 1003409061
  Medicare reassignment Care Compare group NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD
• Main Source Pharmacy Inc

  dba Main Source Pharmacy

  • Community/Retail Pharmacy
  • Huntington, NY
  • NPI 1689179178
  NPD (past)
• SLR FPP University Medical Practice Associates

  • Internal Medicine Physician
  • New York, NY
  • NPI 1639127913
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Huntington Hospital Association

  • General Acute Care Hospital
  • Huntington, NY
  • NPI 1508845322
  Care Compare affiliation
• Long Island Jewish Medical Center

  • General Acute Care Hospital
  • New Hyde Park, NY
  • NPI 1285641514
  Care Compare affiliation
• North Shore University Hospital

  • General Acute Care Hospital
  • Manhasset, NY
  • NPI 1366459570
  Care Compare affiliation
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  Care Compare affiliation

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1972578557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PULASKI RD",
            "address_2": "SUITE D",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401605",
            "telephone_number": "631-427-6060",
            "fax_number": "631-549-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PULASKI RD",
            "address_2": "SUITE D",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401605",
            "telephone_number": "631-427-6060",
            "fax_number": "631-549-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMYKOL-PETRYK",
        "first_name": "MAGDALENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "205217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01838013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Pedersen, RPH
• Erica Perez-Flowers, M.A., CCC-SLP
• Bailey Georgene Perry, MD
• June N Pierre-Louis, PH.D.
• Point North Psychological Services, PLLC
• Leslie Marie Portillo, MA, LCAT, ATR-BC
• Trevor Tomesh Prashad, DO
• Premise Health of New York Medical, P.C (BAE Systems Greenlawn NY)
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy PC

• Hematology & Oncology Physician in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.

Verify at the official NPI Registry.