NORTH SHORE LIJ OB GYN PC
NPI 1033453329
Obstetrics & Gynecology - Obstetrics in Islandia, NY
About North Shore Lij Ob Gyn Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE LIJ OB GYN PC (NPI 1033453329) is a healthcare organization registered as an obstetrics in Islandia, New York and active in the NPI registry since November 2012. The organization lists Michele Cusak, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Lij Ob Gyn Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
24Medicare enrollment records show 24 clinicians reassign Medicare billing to North Shore Lij Ob Gyn PC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 24Islandia, NY 11749
Islandia, NY 11749
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 Lij Ob Gyn PC's NPI number?
The NPI number for North Shore Lij Ob Gyn PC is 1033453329. It was assigned to this organization in the NPPES registry on November 27, 2012.
Where is North Shore Lij Ob Gyn PC located?
North Shore Lij Ob Gyn PC is located at 3001 Expressway Dr N, Islandia, NY 11749. The listed phone number is (631) 292-6747.
What is North Shore Lij Ob Gyn PC's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is North Shore Lij Ob Gyn PC enrolled in Medicare?
Yes. North Shore Lij Ob Gyn PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Shore Lij Ob Gyn PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 4 Medicare specialties reassign their Medicare billing to North Shore Lij Ob Gyn PC. 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 Obstetrics/Gynecology (13), Nurse Practitioner (9) and Certified Nurse Midwife (CNM) (1). Of these, 9 practice at this address and 14 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 Lij Ob Gyn PC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# North Shore Lij Ob Gyn Pc · NPI 1033453329
Obstetrics organization in Islandia, New York. Organization record, active in the CMS NPPES registry since November 27, 2012.
## Identity
- **NPI:** 1033453329 (Entity type: Organization)
- **Enumerated:** November 27, 2012
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **Organization subpart:** No
- **Authorized official:** Michele Cusak, CFO
## Practice location
- **Address:** 3001 EXPRESSWAY DR N, Islandia, NY 11749-5301
- **Phone:** (631) 292-6747 · **Fax:** (516) 876-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 24 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (13), Nurse Practitioner (9), Certified Nurse Midwife (CNM) (1); 9 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1033453329/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1033453329) · Data from the CMS NPPES public registry.