Individual provider Active NPI

Steven David Kushnick, MD

  • Otolaryngology Physician
  • Brooklyn, NY
National Provider Identifier
1992754410
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
178322 Issued in NY
Practice address
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone
(718) 250-8520
Fax
(718) 250-6327
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 178322 NY Primary

Addresses

Primary practice location

121 Dekalb Ave
Brooklyn, NY 11201-5425

Mailing address

10 Beechwood LN
Scarsdale, NY 10583-6002
Phone (718) 250-8520

Other practice location 1

233 Nostrand Ave
Brooklyn, NY 11205-4924
Phone (718) 826-5900

Other identifiers 1

IdentifierTypeStateIssuer
01454920MedicaidNY

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
I20060426000538 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 1456361112 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Tulane University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph M Capo MD PCGroup PAC ID 7911899562, 13 clinicians

Practice addresses (Care Compare)

165 N Village Ave
Rockville Centre, NY 11570-3701
Phone (516) 764-1055

2870 Hempstead Tpke
Levittown, NY 11756-1341
Phone (516) 731-6644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
66.44
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph M Capo MD PC Otolaryngology CurrentSince Dec 24, 2018 Accepting new patients
TBHC Physician Services PC Past Accepting new patients
Island Hearing & Balance Center LLC Otolaryngology PastSince Mar 18, 2026 Accepting new patients

Locations

333 Glen Head Rd
Ste 110
Glen Head, NY 11545
Phone (516) 671-5511

2870 Hempstead Tpke
Fl 2
Levittown, NY 11756
Phone (516) 731-6644

2870 Hempstead Tpke
Ste 203
Levittown, NY 11756
Phone (516) 671-5511

165 N Village Ave
Ste 117
Rockville Ctr, NY 11570
Phone (516) 764-1055

Networks

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

Interoperability endpoints

  • Direct secure messaging: skushnick67549@northwell.direct-ci.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.

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1992754410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BEECHWOOD LN",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836002",
            "telephone_number": "718-250-8520",
            "fax_number": "914-725-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8520",
            "fax_number": "718-250-6327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Nostrand Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112054924",
            "country_code": "US",
            "telephone_number": "718-826-5900",
            "fax_number": "516-542-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHNICK",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "178322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01454920",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.