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: August 09, 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 1300 Community DrManhasset, NY 11030-3816 · Phone (516) 328-9800 · Fax (516) 562-4821
Location 2300 Community Dr, The Alvin and Dorothy Schwartz Ambulatory Surgery CtrManhasset, NY 11030-3816 · Phone (516) 328-9800 · Fax (866) 479-4811
Location 3450 Lakeville RdNew Hyde Park, NY 11042-1118 · Phone (516) 328-9800 · Fax (516) 734-8015
Location 410002 Rockaway BlvdOzone Park, NY 11417-2217 · Phone (516) 328-9800 · Fax (516) 328-9801
Location 510201 66th RdForest Hills, NY 11375-2029 · Phone (516) 328-9800 · Fax (718) 830-1149
Location 61999 Marcus Ave, Ste M9Lake Success, NY 11042-1028 · Phone (516) 233-3777 · Fax (516) 233-3776
Location 727005 76th AveNew Hyde Park, NY 11040-1402 · Phone (516) 328-9800 · Fax (718) 343-3429
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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON GAGLIANO RD
Dietitian, Registered
2001 MARCUS AVE STE S50
NEW HYDE PARK, NY 11042
Nassau County (888) 649-4232

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.

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.