SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
NPI 1033791058
Radiology - Body Imaging in Seaford, NY

Active since April 28, 2021
1220 HICKSVILLE RD, SEAFORD, NY 11783(516) 266-3456(516) 266-3490 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, Jun 26, 2025, Jul 23, 2021 and 1 more (4 updates tracked since 2021).

About Southside Faculty Medical Affiliates University Faculty Practice Corp NPPES

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

SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP (NPI 1033791058) is a healthcare organization registered as a body imaging in Seaford, New York and active in the NPI registry since April 2021. The organization maintains a secondary practice location in New York and lists Michele L Cusack, Executive Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1033791058
Entity TypeOrganization
Primary Taxonomy2085B0100X
Legal Business NameSOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
Location Address1220 HICKSVILLE RDSeaford, NY 11783-1604
Mailing Address2000 Marcus AveNew Hyde Park, NY 11042-1069 · (516) 266-3456 · Fax (516) 266-3490
Fax(516) 266-3490
Organization SubpartNo
Authorized OfficialMichele L CusackExecutive Vice President & Cfo · (516) 321-6058
Enumeration DateApril 28, 2021
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1033791058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
1220 HICKSVILLE RD, Seaford, NY 11783

Secondary Practice Location 1

Location 11421 3rd AveNew York, NY 10028-1802 · Phone (212) 744-5538 · Fax (212) 744-4767

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)

Southside Faculty Medical Affiliates University Faculty Practice Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

392

Medicare enrollment records show 392 clinicians reassign Medicare billing to Southside Faculty Medical Affiliates University Faculty Practice Corp, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Diagnostic Radiology331
Interventional Radiology40
Nuclear Medicine14
Radiation Oncology3
Interventional Cardiology2
Family Practice1
Nurse Practitioner1

Nearest to this location (20)

See all 392
Diagnostic Radiology
NPI 1548284144
4277 HEMPSTEAD TPKE SUITE 20
Bethpage, NY 11714
(516) 796-4340
✔ PECOS✔ Accepts Medicare2.0 mi
Diagnostic Radiology
NPI 1396917720
1678 FOXGLOVE RD
N Merrick, NY 11566
(914) 924-7633
✔ PECOS✔ Accepts Medicare4.1 mi
Diagnostic Radiology
NPI 1497029680
32 WALNUT LN
Hicksville, NY 11801
(617) 817-8275
✔ PECOS✔ Accepts Medicare4.1 mi
Diagnostic Radiology
NPI 1578613923
2201 HEMPSTEAD TPKE NASSAU UNIVERSITY MEDICAL CENTER
East Meadow, NY 11554
(516) 572-6131
✔ PECOS✔ Accepts Medicare4.3 mi
Interventional Radiology
NPI 1730138025
888 OLD COUNTRY RD
Plainview, NY 11803
(516) 719-2422
✔ PECOS✔ Accepts Medicare5.4 mi
Diagnostic Radiology
NPI 1992125124
888 OLD COUNTRY RD
Plainview, NY 11803
(516) 719-3000
✔ PECOS✔ Accepts Medicare5.4 mi
Diagnostic Radiology
NPI 1790745743
888 OLD COUNTRY RD
Plainview, NY 11803
(516) 719-2222
✔ PECOS✔ Accepts Medicare5.4 mi
Diagnostic Radiology
NPI 1548269848
150 E SUNRISE HIGHWAY SUITE 208
Lindenhurst, NY 11757
(631) 225-7200
✔ PECOS✔ Accepts Medicare5.6 mi
Diagnostic Radiology
NPI 1952562845
150 SUNRISE HWY ZWANGER PESIRI RADIOLOGY
Lindenhurst, NY 11757
(516) 992-6437
✔ PECOS✔ Accepts Medicare5.6 mi
Diagnostic Radiology
NPI 1487654885
150 E SUNRISE HWY 208
Lindenhurst, NY 11757
(631) 225-7200
✔ PECOS✔ Accepts Medicare5.6 mi
Diagnostic Radiology
NPI 1316479256
110 MARCUS DR
Melville, NY 11747
(316) 694-2929
✔ PECOS✔ Accepts Medicare5.9 mi
Diagnostic Radiology
NPI 1174506257
990 STEWART AVE
Garden City, NY 11530
(516) 222-2022
✔ PECOS✔ Accepts Medicare6.6 mi
Diagnostic Radiology
NPI 1861599441
972 BRUSH HOLLOW RD 4TH FLOOR
Westbury, NY 11590
(516) 876-5555
✔ PECOS✔ Accepts Medicare6.7 mi
Diagnostic Radiology
NPI 1225563455
38 AUDREY RD
Westbury, NY 11590
(516) 319-5092
✔ PECOS✔ Accepts Medicare6.8 mi
Diagnostic Radiology
NPI 1790793560
1000 N VILLAGE AVE RADIOLOGY DEPARTMENT
Rockville Centre, NY 11570
(952) 595-1100
✔ PECOS✔ Accepts Medicare7.9 mi
Diagnostic Radiology
NPI 1609835065
224 SECATOGUE LN
West Islip, NY 11795
(631) 988-5404
✔ PECOS✔ Accepts Medicare9.6 mi
Radiation Oncology
NPI 1619945334
1000 MONTAUK HIGHWAY
West Islip, NY 11795
(631) 376-4027
✔ PECOS✔ Accepts Medicare9.8 mi
Diagnostic Radiology
NPI 1881704922
59 BARBERRY LN
Roslyn Heights, NY 11577
(516) 484-5218
✔ PECOS✔ Accepts Medicare10 mi
Interventional Radiology
NPI 1255401394
LIJMC-DEPT OF RADIOLOGY 270-05 76TH AVENUE
New Hyde Park, NY 11040
(718) 470-7178
✔ PECOS✔ Accepts Medicare11 mi
Nuclear Medicine
NPI 1689747925
LIJMC-NUCLEAR MEDICINE 270-05 76TH AVENUE
New Hyde Park, NY 11040
(718) 470-7080
✔ PECOS✔ Accepts Medicare12 mi
See all 392 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 Southside Faculty Medical Affiliates University Faculty Practice Corp's NPI number?

The NPI number for Southside Faculty Medical Affiliates University Faculty Practice Corp is 1033791058. It was assigned to this organization in the NPPES registry on April 28, 2021.

Where is Southside Faculty Medical Affiliates University Faculty Practice Corp located?

Southside Faculty Medical Affiliates University Faculty Practice Corp is located at 1220 Hicksville Rd, Seaford, NY 11783. The listed phone number is (516) 266-3456.

What is Southside Faculty Medical Affiliates University Faculty Practice Corp's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Is Southside Faculty Medical Affiliates University Faculty Practice Corp enrolled in Medicare?

Yes. Southside Faculty Medical Affiliates University Faculty Practice Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southside Faculty Medical Affiliates University Faculty Practice Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 392 clinicians in 7 Medicare specialties reassign their Medicare billing to Southside Faculty Medical Affiliates University Faculty Practice Corp. 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 Diagnostic Radiology (331), Interventional Radiology (40) and Nuclear Medicine (14). Of these, 17 practice 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 Southside Faculty Medical Affiliates University Faculty Practice Corp was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.