NORTH SHORE-LIJ MEDICAL PC
NORTH SHORE-LIJ MEDICAL PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053688572, based in Great Neck, NY. It is classified under Urology Physician.
Getting there
The practice address on file is 1010 NORTHERN BLVD STE 110, Great Neck, NY 11021. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
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.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3375701568
Enrolled in Medicare 23 times, across 23 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| New York | O20120220000262 | Part B Supplier - Clinic/group Practice |
| Connecticut | O20180724000821 | Part B Supplier - Clinic/group Practice |
| California | O20200212001719 | Part B Supplier - Clinic/group Practice |
| Florida | O20200319001344 | Part B Supplier - Clinic/group Practice |
| Illinois | O20200401002308 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20220127000046 | Part B Supplier - Clinic/group Practice |
| Georgia | O20220307000740 | Part B Supplier - Clinic/group Practice |
| New Jersey | O20220608002771 | Part B Supplier - Clinic/group Practice |
| Maryland | O20220915001879 | Part B Supplier - Clinic/group Practice |
| Texas | O20221208002410 | Part B Supplier - Clinic/group Practice |
| Maine | O20230426002230 | Part B Supplier - Clinic/group Practice |
| Colorado | O20230928004200 | Part B Supplier - Clinic/group Practice |
| Massachusetts | O20231002000981 | Part B Supplier - Clinic/group Practice |
| Nevada | O20240227000329 | Part B Supplier - Clinic/group Practice |
| Washington | O20240306001315 | Part B Supplier - Clinic/group Practice |
| Nebraska | O20240619000140 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20250220001312 | Part B Supplier - Clinic/group Practice |
| Oregon | O20250304001738 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20250416002871 | Part B Supplier - Clinic/group Practice |
| Rhode Island | O20250417001538 | Part B Supplier - Clinic/group Practice |
| Missouri | O20250825001654 | Part B Supplier - Clinic/group Practice |
| Alabama | O20250925004410 | Part B Supplier - Clinic/group Practice |
| Utah | O20260120000484 | 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, CT, CA, FL, IL, NC, GA, NJ, MD, TX, ME, CO, MA, NV, WA, NE, WI, OR, TN, RI, 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 Urology covers
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
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.
| NPI | 1053688572 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Nov 29, 2011 |
| Last updated | Feb 20, 2025 |
| Status | Active |
| Practice address |
1010 NORTHERN BLVD STE 110 Great Neck, NY 11021 (516) 321-7400 Fax (516) 321-7498 |
| Mailing address |
972 BRUSH HOLLOW RD FINANCE 5TH FLOOR ATTENTION WILLIAM J FUCHS Westbury, NY 11590 |
Number check
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 | 5 | 3 | 6 | 8 | 8 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 1 | 3 | 3 | 8 | 7 | 5 | 5 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
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.