Organization provider

SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP

Body Imaging Physician Medicare enrolled

SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033791058, based in Seaford, NY. It is classified under Body Imaging Physician.

Getting there

The practice address on file is 1220 HICKSVILLE RD, Seaford, NY 11783. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1220 HICKSVILLE RD, Seaford, NY 11783 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5698175933

Enrolled in Medicare 23 times, across 23 states:

StateEnrollment IDProvider type
New York O20210608003649 Part B Supplier - Clinic/group Practice
Florida O20220413002876 Part B Supplier - Clinic/group Practice
Connecticut O20220415000657 Part B Supplier - Clinic/group Practice
North Carolina O20220602000622 Part B Supplier - Clinic/group Practice
Georgia O20220610000544 Part B Supplier - Clinic/group Practice
New Jersey O20220621001144 Part B Supplier - Clinic/group Practice
Maryland O20220822000347 Part B Supplier - Clinic/group Practice
California O20220916002753 Part B Supplier - Clinic/group Practice
Texas O20230303002132 Part B Supplier - Clinic/group Practice
Colorado O20230908003646 Part B Supplier - Clinic/group Practice
Maine O20231011000765 Part B Supplier - Clinic/group Practice
Massachusetts O20231011001440 Part B Supplier - Clinic/group Practice
Washington O20240115001443 Part B Supplier - Clinic/group Practice
Nevada O20240116003459 Part B Supplier - Clinic/group Practice
Nebraska O20240620001999 Part B Supplier - Clinic/group Practice
Illinois O20241111002757 Part B Supplier - Clinic/group Practice
Oregon O20241227000466 Part B Supplier - Clinic/group Practice
Wisconsin O20250117002500 Part B Supplier - Clinic/group Practice
Rhode Island O20250402002446 Part B Supplier - Clinic/group Practice
Tennessee O20250417001622 Part B Supplier - Clinic/group Practice
Missouri O20250529000148 Part B Supplier - Clinic/group Practice
Alabama O20250915000795 Part B Supplier - Clinic/group Practice
Utah O20260205001389 Part B Supplier - Clinic/group Practice

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 23 separate enrolment records across 23 states (NY, FL, CT, NC, GA, NJ, MD, CA, TX, CO, ME, MA, WA, NV, NE, IL, OR, WI, RI, TN, MO, AL, UT). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Body Imaging covers

A Radiology doctor of Osteopathy that specializes in Body Imaging. NUCC Health Care Provider Taxonomy, code 2085B0100X
Allopathic & Osteopathic Physicians Radiology Body Imaging

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1033791058 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateApr 28, 2021
Last updatedJan 6, 2026
StatusActive
Practice address 1220 HICKSVILLE RD
Seaford, NY 11783
(516) 266-3456
Fax (516) 266-3490
Mailing address 2000 MARCUS AVE
New Hyde Park, NY 11042
This record was updated on Jan 6, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1033791058 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 3 3 7 9 1 0 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 6 3 5 9 2 0 1

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1033791058?
NPI 1033791058 is the National Provider Identifier assigned to SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP in Seaford, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Body Imaging cover?
A Radiology doctor of Osteopathy that specializes in Body Imaging.
How do I contact SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP?
The phone number on file with NPPES is (516) 266-3456, last updated Jan 6, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1033791058 a valid number?
Yes. 1033791058 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.