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NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
NPI 1003409061
Internal Medicine - Hematology & Oncology in New Hyde Park, NY

Active since February 19, 2021
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042(516) 734-8900(516) 734-8934 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Shore Health System Medical Faculty Group Practice Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC (NPI 1003409061) is a healthcare organization registered as a hematology & oncology in New Hyde Park, New York and active in the NPI registry since February 2021. The organization maintains 2 additional practice locations and lists Michele L Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1003409061
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameNORTH SHORE HEALTH SYSTEM MEDICAL FACULTY GROUP PRACTICE INC
Location Address450 LAKEVILLE RDNew Hyde Park, NY 11042-1118
Mailing Address450 Lakeville RdNew Hyde Park, NY 11042-1118 · (516) 734-8900 · Fax (516) 734-8934
Phone(516) 734-8900
Fax(516) 734-8934
Organization SubpartNo
Authorized OfficialMichele L CusackSenior Vice President & Cfo · (516) 321-6058
Enumeration DateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
✔ NPI 1003409061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
450 LAKEVILLE RD, New Hyde Park, NY 11042
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Secondary Practice Locations 2

Location 1110 E 59th St Rm 9ANew York, NY 10022-1309 · Phone (212) 583-2850 · Fax (212) 644-8666
Location 2440 E Main StBay Shore, NY 11706-8501 · Phone (631) 414-6800 · Fax (631) 414-6884

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER HERNANDEZ PA-C
Physician Assistant
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8876
PETER MAGRI JR. NP
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-7443
SARA S KIM PHARM D, BCOP
Pharmacist
450 LAKEVILLE RD
LAKE SUCCESS, NY 11042
Nassau County (516) 734-3560
EMILY R VESELY
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8963
MRS. TAMMI HASSELL BLOT FNP
Nurse Practitioner (Family)
450 LAKEVILLE RD, PRE SURGICAL TESTING
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8006
SHANESE SHARMA NP
Nurse Practitioner (Adult Health)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 941-9454
EVA MONICA MCLOUGHLIN
Nurse Practitioner
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (917) 225-8175
MRS. STEPHANIE RADSKE-INZERILLO FNP
Nurse Practitioner (Family)
450 LAKEVILLE RD
NEW HYDE PARK, NY 11042
Nassau County (516) 734-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Shore Health System Medical Faculty Group Practice Inc's NPI number?

The NPI number for North Shore Health System Medical Faculty Group Practice Inc is 1003409061. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is North Shore Health System Medical Faculty Group Practice Inc located?

North Shore Health System Medical Faculty Group Practice Inc is located at 450 Lakeville Rd, New Hyde Park, NY 11042. The listed phone number is (516) 734-8900.

What is North Shore Health System Medical Faculty Group Practice Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for North Shore Health System Medical Faculty Group Practice Inc was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.