1. Home
  2. Directory
  3. New York
  4. New Hyde Park
  5. Surgery
  6. NPI Profile

NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC
NPI 1174147979
Surgery - Vascular Surgery in New Hyde Park, NY

Active since June 08, 2020
2001 MARCUS AVE STE S50, NEW HYDE PARK, NY 11042(516) 328-9800(516) 328-9801 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2022, Jun 8, 2020 (2 updates tracked since 2020).

About North Shore-lij Medical Group At Huntington Pc NPPES

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

NORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC (NPI 1174147979) is a healthcare organization registered as a vascular surgery in New Hyde Park, New York and active in the NPI registry since June 2020. The organization maintains 9 additional practice locations and lists Michele L Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1174147979
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameNORTH SHORE-LIJ MEDICAL GROUP AT HUNTINGTON PC
Location Address2001 MARCUS AVE STE S50New Hyde Park, NY 11042-1039
Mailing Address2001 Marcus Ave Ste S50New Hyde Park, NY 11042-1039 · (516) 328-9800 · Fax (516) 328-9801
Phone(516) 328-9800
Fax(516) 328-9801
Organization SubpartNo
Authorized OfficialMichele L CusackSenior Vice President & Cfo · (516) 321-6058
Enumeration DateJune 8, 2020
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1174147979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
2001 MARCUS AVE STE S50, New Hyde Park, NY 11042
Open in Google Maps ↗

Secondary Practice Locations 9

Location 110201 66th RdForest Hills, NY 11375-2029 · Phone (516) 328-9800 · Fax (718) 830-1149
Location 21999 Marcus Ave, Ste M9Lake Success, NY 11042-1028 · Phone (516) 233-3777 · Fax (516) 233-3776
Location 327005 76th AveNew Hyde Park, NY 11040-1402 · Phone (516) 328-9800 · Fax (718) 343-3429
Location 4300 Community DrManhasset, NY 11030-3816 · Phone (516) 328-9800 · Fax (516) 562-4821
Location 5300 Community Dr, The Alvin and Dorothy Schwartz Ambulatory Surgery CtrManhasset, NY 11030-3816 · Phone (516) 328-9800 · Fax (866) 479-4811
Location 6450 Lakeville RdNew Hyde Park, NY 11042-1118 · Phone (516) 328-9800 · Fax (516) 734-8015
Location 710002 Rockaway BlvdOzone Park, NY 11417-2217 · Phone (516) 328-9800 · Fax (516) 328-9801
Location 89525 Queens Blvd Fl 2Rego Park, NY 11374-4510 · Phone (516) 328-9800 · Fax (718) 925-6210
Location 9900 Franklin AveValley Stream, NY 11580-2145 · Phone (516) 328-9800 · Fax (516) 256-6329

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-lij Medical Group At Huntington Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

42

Medicare enrollment records show 42 clinicians reassign Medicare billing to North Shore-Lij Medical Group At Huntington PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Vascular Surgery35
Nurse Practitioner5
General Surgery2

Nearest to this location (20)

See all 42
Larry Frankini, MD
Vascular Surgery
NPI 1134207467
2001 MARCUS AVE SUITE S50
New Hyde Park, NY 11042
(516) 328-9800
✔ PECOS✔ Accepts MedicareSame address
Omid Rahmani, MD
Vascular Surgery
NPI 1053499392
2001 MARCUS AVE SUITE S50
New Hyde Park, NY 11042
(516) 328-9800
✔ PECOS✔ Accepts MedicareSame address
Yana Etkin, M.D.
Vascular Surgery
NPI 1952698847
1999 MARCUS AVE STE 106B
New Hyde Park, NY 11042
(516) 233-3701
✔ PECOS✔ Accepts Medicare0.1 mi
Grace Hom, FNP-BC
Nurse Practitioner
NPI 1902552284
1999 MARCUS AVE STE 106B
New Hyde Park, NY 11042
(516) 470-4505
✔ PECOS✔ Accepts Medicare0.1 mi
Gregg Landis, M.D.
Vascular Surgery
NPI 1932156916
1999 MARCUS AVE SUITE 106B
New Hyde Park, NY 11042
(516) 233-3607
✔ PECOS✔ Accepts Medicare0.1 mi
Jeffrey Silpe, M.D.
Vascular Surgery
NPI 1770903825
1999 MARCUS AVE STE 106B
New Hyde Park, NY 11042
(516) 233-3701
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Kissin, MD
Vascular Surgery
NPI 1336209477
LIJMC DEPT. OF SURGERY VASCULAR SURGERY 270 05 76TH AVENUE
New Hyde Park, NY 11040
(718) 470-7210
✔ PECOS✔ Accepts Medicare0.1 mi
Jennifer Chang, MD
Vascular Surgery
NPI 1649537374
27005 76TH AVE DEPT. OF SURGERY
New Hyde Park, NY 11040
(718) 470-4475
✔ PECOS✔ Accepts Medicare0.7 mi
Alisha Oropallo, M.D.
Vascular Surgery
NPI 1104901206
120 MINEOLA BLVD SUITE 300
Mineola, NY 11501
(516) 663-4400
✔ PECOS✔ Accepts Medicare2.8 mi
Mihai Rosca, M.D.
Vascular Surgery
NPI 1659357754
1050 NORTHERN BLVD
Roslyn, NY 11576
(516) 484-3430
✔ PECOS✔ Accepts Medicare3.2 mi
William Purtill, M.D.
Vascular Surgery
NPI 1619950532
990 STEWART AVENUE SUITE L32
Garden City, NY 11530
(516) 466-0485
✔ PECOS✔ Accepts Medicare5.1 mi
Xin Li, MD
Vascular Surgery
NPI 1023206943
10201 66TH RD
Forest Hills, NY 11375
(718) 830-4093
✔ PECOS✔ Accepts Medicare8.7 mi
Kenneth Goldstein, MD
Vascular Surgery
NPI 1164504320
EASTERN VASCULAR ASSOC 3219 EAST TREMONT AVENUE
Bronx, NY 10461
(718) 792-8115
✔ PECOS✔ Accepts Medicare10 mi
Christopher Armbruster, NP
Nurse Practitioner
NPI 1518709567
604 NASSAU AVE
Freeport, NY 11520
(516) 523-7529
✔ PECOS✔ Accepts Medicare10 mi
Noelle Sylvain, NP
Nurse Practitioner
NPI 1609594910
2063A BARTOW AVE
Bronx, NY 10475
(917) 310-3371
✔ PECOS✔ Accepts Medicare11 mi
Alfio Carroccio, MD
Vascular Surgery
NPI 1346216124
130 E 77TH ST FL 13
New York, NY 10075
(212) 434-3420
✔ PECOS✔ Accepts Medicare14 mi
Kenneth Nakazawa, MD
Vascular Surgery
NPI 1447754593
130 EAST 77TH STREET, BLACK HALL, 13TH FLOOR
New York, NY 10075
(212) 434-3420
✔ PECOS✔ Accepts Medicare14 mi
Karina Moreno, MSN, RN, ACNP
Nurse Practitioner
NPI 1649724626
560 1ST AVE
New York, NY 10016
(212) 263-7311
✔ PECOS✔ Accepts Medicare15 mi
Glenn Jacobowitz, M.D.
Vascular Surgery
NPI 1891789640
530 1ST AVE 6 F
New York, NY 10016
(212) 263-7311
✔ PECOS✔ Accepts Medicare15 mi
Luis Davila Santini, M.D.
General Surgery
NPI 1851499958
270 E MAIN ST
Bay Shore, NY 11706
(631) 591-7460
✔ PECOS✔ Accepts Medicare23 mi
See all 42 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-Lij Medical Group At Huntington PC's NPI number?

The NPI number for North Shore-Lij Medical Group At Huntington PC is 1174147979. It was assigned to this organization in the NPPES registry on June 8, 2020.

Where is North Shore-Lij Medical Group At Huntington PC located?

North Shore-Lij Medical Group At Huntington PC is located at 2001 Marcus Ave Ste S50, New Hyde Park, NY 11042. The listed phone number is (516) 328-9800.

What is North Shore-Lij Medical Group At Huntington PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is North Shore-Lij Medical Group At Huntington PC enrolled in Medicare?

Yes. North Shore-Lij Medical Group At Huntington PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Shore-Lij Medical Group At Huntington PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 42 clinicians in 3 Medicare specialties reassign their Medicare billing to North Shore-Lij Medical Group At Huntington 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 Vascular Surgery (35), Nurse Practitioner (5) and General Surgery (2). Of these, 2 practice at this address and 12 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 Medical Group At Huntington PC was last updated on July 8, 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.