NORTH SHORE LIJ PHYSICIANS GROUP PC
NPI 1073818308
Internal Medicine in Great Neck, NY
About North Shore Lij Physicians Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE LIJ PHYSICIANS GROUP PC (NPI 1073818308) is a healthcare organization registered as an internal medicine in Great Neck, New York and active in the NPI registry since January 2011. The organization lists Michele L Cusack, Evp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Shore Lij Physicians Group Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to North Shore Lij Physicians Group PC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 Physicians Group PC's NPI number?
The NPI number for North Shore Lij Physicians Group PC is 1073818308. It was assigned to this organization in the NPPES registry on January 18, 2011.
Where is North Shore Lij Physicians Group PC located?
North Shore Lij Physicians Group PC is located at 145 Community Dr, Great Neck, NY 11021. The listed phone number is (516) 465-8182.
What is North Shore Lij Physicians Group PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is North Shore Lij Physicians Group PC enrolled in Medicare?
Yes. North Shore Lij Physicians Group PC is registered in the Medicare PECOS enrollment system.
When is North Shore Lij Physicians Group PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through North Shore Lij Physicians Group PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to North Shore Lij Physicians Group PC, in Clinical Psychologist, Endocrinology, General Surgery, Nephrology and Psychiatry. 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. Of these, 4 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 North Shore Lij Physicians Group PC was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# North Shore Lij Physicians Group Pc · NPI 1073818308
Internal Medicine organization in Great Neck, New York. Organization record, active in the CMS NPPES registry since January 18, 2011.
## Identity
- **NPI:** 1073818308 (Entity type: Organization)
- **Enumerated:** January 18, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michele Cusack, EVP & CFO
## Practice location
- **Address:** 145 COMMUNITY DR, Great Neck, NY 11021-5502
- **Phone:** (516) 465-8182
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Psychologist (2), Endocrinology (1), General Surgery (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073818308) · Data from the CMS NPPES public registry.