NORTH SHORE LIJ MEDICAL GROUP AT NORTH NASSAU, PC
NPI 1700175270
Internal Medicine - Cardiovascular Disease in Glen Cove, NY

Active since April 05, 2011
70 GLEN ST, SUITE 200, GLEN COVE, NY 11542(516) 484-7893 Get Directions Write a Review

NPPES record last updated: July 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2022, Jul 8, 2022 (2 updates tracked since 2022).

About North Shore Lij Medical Group At North Nassau, Pc NPPES

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

NORTH SHORE LIJ MEDICAL GROUP AT NORTH NASSAU, PC (NPI 1700175270) is a healthcare organization registered as a cardiovascular disease in Glen Cove, New York and active in the NPI registry since April 2011. The organization lists Michele Cusak, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700175270
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNORTH SHORE LIJ MEDICAL GROUP AT NORTH NASSAU, PC
Location Address70 GLEN ST, SUITE 200Glen Cove, NY 11542-2855
Mailing Address972 Brush Hollow Rd, Finance 5th FloorWestbury, NY 11590-1740 · (516) 876-6065
Organization SubpartNo
Authorized OfficialMichele CusakCfo · (516) 465-8182
Enumeration DateApril 5, 2011
Last NPPES UpdateJuly 26, 20222 updates tracked since enumeration
NPPES CertifiedJuly 26, 2022
✔ NPI 1700175270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
70 GLEN ST, Glen Cove, NY 11542

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 North Nassau, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

59

Medicare enrollment records show 59 clinicians reassign Medicare billing to North Shore Lij Medical Group At North Nassau, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Cardiovascular Disease (Cardiology)11
Pediatric Medicine9
Nurse Practitioner7
Podiatry7
Vascular Surgery7
Gastroenterology5
Nephrology4
Urology4
3 other specialties5

Nearest to this location (20)

See all 59
Cardiovascular Disease (Cardiology)
NPI 1104810183
70 GLEN ST STE 200
Glen Cove, NY 11542
(516) 484-7893
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1366436305
70 GLEN ST SUITE 200
Glen Cove, NY 11542
(516) 484-7893
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1811981855
70 GLEN STREET STE 200
Glen Cove, NY 11542
(516) 484-7893
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1629062674
70 GLEN STREET STE 200
Glen Cove, NY 11542
(516) 484-7893
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1952698847
1999 MARCUS AVE STE 106B
New Hyde Park, NY 11042
(516) 233-3701
✔ PECOS✔ Accepts Medicare8.1 mi
Vascular Surgery
NPI 1932156916
1999 MARCUS AVE SUITE 106B
New Hyde Park, NY 11042
(516) 233-3607
✔ PECOS✔ Accepts Medicare8.1 mi
Vascular Surgery
NPI 1770903825
1999 MARCUS AVE STE 106B
New Hyde Park, NY 11042
(516) 233-3701
✔ PECOS✔ Accepts Medicare8.1 mi
Vascular Surgery
NPI 1336209477
LIJMC DEPT. OF SURGERY VASCULAR SURGERY 270 05 76TH AVENUE
New Hyde Park, NY 11040
(718) 470-7210
✔ PECOS✔ Accepts Medicare8.1 mi
Gastroenterology
NPI 1558303586
2001 MARCUS AVE SUITE N18
Lake Success, NY 11042
(516) 775-7770
✔ PECOS8.1 mi
Gastroenterology
NPI 1679646624
2001 MARCUS AVE STN204
New Hyde Park, NY 11042
(516) 437-7202
✔ PECOS✔ Accepts Medicare8.1 mi
Gastroenterology
NPI 1366767154
2001 MARCUS AVE
New Hyde Park, NY 11042
(516) 775-7770
✔ PECOS✔ Accepts Medicare8.1 mi
Gastroenterology
NPI 1134624935
2001 MARCUS AVE STE N18
New Hyde Park, NY 11042
(516) 776-7770
✔ PECOS✔ Accepts Medicare8.1 mi
Urology
NPI 1508098922
450 LAKEVILLE RD SUITE M41
New Hyde Park, NY 11042
(516) 734-8500
✔ PECOS✔ Accepts Medicare8.3 mi
Podiatry
NPI 1134205776
410 LAKEVILLE RD SUITE 303
New Hyde Park, NY 11042
(516) 326-4709
✔ PECOS✔ Accepts Medicare8.4 mi
Pediatric Medicine
NPI 1336842400
26901 76TH AVE
New Hyde Park, NY 11040
(718) 470-3204
✔ PECOS8.7 mi
Nephrology
NPI 1801831763
300 OLD COUNTRY RD SUITE 111
Mineola, NY 11501
(516) 745-0500
✔ PECOS✔ Accepts Medicare8.7 mi
Nephrology
NPI 1114925708
300 OLD COUNTRY RD SUITE 111
Mineola, NY 11501
(516) 745-0500
✔ PECOS✔ Accepts Medicare8.7 mi
Nephrology
NPI 1871591453
300 OLD COUNTRY RD SUITE 111
Mineola, NY 11501
(516) 745-0500
✔ PECOS✔ Accepts Medicare8.7 mi
Nephrology
NPI 1598763187
300 OLD COUNTRY RD SUITE 111
Mineola, NY 11501
(516) 745-0500
✔ PECOS✔ Accepts Medicare8.7 mi
Obstetrics/Gynecology
NPI 1669524765
157 FROEHLICH FARM BOULEVARD
Woodbury, NY 11797
(516) 921-3168
✔ PECOS✔ Accepts Medicare9.0 mi
See all 59 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 North Nassau, PC's NPI number?

The NPI number for North Shore Lij Medical Group At North Nassau, PC is 1700175270. It was assigned to this organization in the NPPES registry on April 5, 2011.

Where is North Shore Lij Medical Group At North Nassau, PC located?

North Shore Lij Medical Group At North Nassau, PC is located at 70 Glen St Suite 200, Glen Cove, NY 11542. The listed phone number is (516) 484-7893.

What is North Shore Lij Medical Group At North Nassau, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is North Shore Lij Medical Group At North Nassau, PC enrolled in Medicare?

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

How many clinicians bill Medicare through North Shore Lij Medical Group At North Nassau, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 59 clinicians in 11 Medicare specialties reassign their Medicare billing to North Shore Lij Medical Group At North Nassau, 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 Cardiovascular Disease (Cardiology) (11), Pediatric Medicine (9) and Nurse Practitioner (7). Of these, 4 practice at this address and 21 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 North Nassau, PC 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.