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

Q: 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.

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: August 16, 2026.

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

On this page

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

Phone(516) 266-3456

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

Open in Google Maps ↗

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

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.

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 7 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.