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: October 18, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Shore Health System Medical Faculty Group Practice Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

198

Medicare enrollment records show 198 clinicians reassign Medicare billing to North Shore Health System Medical Faculty Group Practice Inc, which bills Medicare for the services they deliver. Of these, 42 practice at this address and 79 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner73
Hematology/Oncology67
Medical Oncology20
Hematology10
Anesthesiology7
Internal Medicine6
Certified Registered Nurse Anesthetist (CRNA)4
Clinical Psychologist3
8 other specialties8

Nearest to this location (20)

See all 198
Nurse Practitioner
NPI 1871306753
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8149
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1447811526
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831068782
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 672-5836
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548754831
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134895089
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8900
✔ PECOSSame address
Hematology
NPI 1316106834
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8776
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1801283064
450 LAKEVILLE RD MONTER CANCER CENTER ENTRANCE B
Lake Success, NY 11042
(516) 734-8764
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1851559777
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8900
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1861886145
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8764
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922402080
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8900
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1487941985
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8900
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1316299803
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8102
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1801188156
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8842
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1518414259
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8842
✔ PECOS✔ Accepts MedicareSame address
Hematology
NPI 1629260286
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-7604
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1942303094
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-7671
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1588026678
450 LAKEVILLE RD
New Hyde Park, NY 11042
(516) 734-8914
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1326201716
450 LAKEVILLE RD MONTER CANCER CENTER/NSLIJ HEALTH SYSTEM
New Hyde Park, NY 11042
(516) 734-8898
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1356475610
450 LAKEVILLE ROAD THE MONTER CANCER CENTER
Lake Success, NY 11042
(516) 734-8973
✔ PECOS✔ Accepts MedicareSame address
Medical Oncology
NPI 1215082961
THE MONTER CANCER CENTER 450 LAKEVILLE ROAD
Lake Success, NY 11042
(516) 734-8973
✔ PECOS✔ Accepts MedicareSame address
See all 198 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is North Shore Health System Medical Faculty Group Practice Inc enrolled in Medicare?

Yes. North Shore Health System Medical Faculty Group Practice Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore Health System Medical Faculty Group Practice Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 198 clinicians in 16 Medicare specialties reassign their Medicare billing to North Shore Health System Medical Faculty Group Practice Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (73), Hematology/Oncology (67) and Medical Oncology (20). Of these, 42 practice at this address and 79 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.