NORTH SHORE - LIJ PEDIATRICS OF SUFFOLK COUNTY, P.C.
NPI 1255722161
Pediatrics in Islandia, NY
About North Shore - Lij Pediatrics Of Suffolk County, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH SHORE - LIJ PEDIATRICS OF SUFFOLK COUNTY, P.C. (NPI 1255722161) is a healthcare organization registered as a pediatrics in Islandia, New York and active in the NPI registry since February 2015. The organization lists Michele Cusak, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Pediatrics Of Suffolk County, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to North Shore - Lij Pediatrics Of Suffolk County, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (20)
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 Pediatrics Of Suffolk County, P.C.'s NPI number?
The NPI number for North Shore - Lij Pediatrics Of Suffolk County, P.C. is 1255722161. It was assigned to this organization in the NPPES registry on February 13, 2015.
Where is North Shore - Lij Pediatrics Of Suffolk County, P.C. located?
North Shore - Lij Pediatrics Of Suffolk County, P.C. is located at 1770 Motor Pkwy, Islandia, NY 11749. The listed phone number is (516) 823-8997.
What is North Shore - Lij Pediatrics Of Suffolk County, P.C.'s specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is North Shore - Lij Pediatrics Of Suffolk County, P.C. enrolled in Medicare?
Yes. North Shore - Lij Pediatrics Of Suffolk County, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Shore - Lij Pediatrics Of Suffolk County, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 3 Medicare specialties reassign their Medicare billing to North Shore - Lij Pediatrics Of Suffolk County, P.C.. 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 Pediatric Medicine (12), Nurse Practitioner (7) and Clinical Social Worker (1). 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 Pediatrics Of Suffolk County, P.C. was last updated on July 26, 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.
# North Shore - Lij Pediatrics Of Suffolk County, P.c. · NPI 1255722161
Pediatrics organization in Islandia, New York. Organization record, active in the CMS NPPES registry since February 13, 2015.
## Identity
- **NPI:** 1255722161 (Entity type: Organization)
- **Enumerated:** February 13, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Michele Cusak, CFO
## Practice location
- **Address:** 1770 MOTOR PKWY, Islandia, NY 11749-5260
- **Phone:** (516) 823-8997
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (12), Nurse Practitioner (7), Clinical Social Worker (1); 2 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255722161) · Data from the CMS NPPES public registry.