Southside Faculty Medical Affiliates University Faculty Practice Corp
NPI 1033791058 · Body Imaging Physician · Seaford, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Faculty Medical Affiliates University Faculty Practice Corp is a Body Imaging Physician organization in Seaford, NY (NPI 1033791058).
Provider details
- NPI number
- 1033791058
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michele Cusack, Executive Vice President & Cfo(516) 321-6058
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1421 3rd AveNew York, NY 10028-1802Phone: (212) 744-5538Fax: (212) 744-4767
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Frequently asked questions
- What is Southside Faculty Medical Affiliates University Faculty Practice Corp's NPI number?
- Southside Faculty Medical Affiliates University Faculty Practice Corp's National Provider Identifier (NPI) is 1033791058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Faculty Medical Affiliates University Faculty Practice Corp?
- Southside Faculty Medical Affiliates University Faculty Practice Corp is classified in the NPPES registry as Body Imaging Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Faculty Medical Affiliates University Faculty Practice Corp located?
- Southside Faculty Medical Affiliates University Faculty Practice Corp's practice location on file with NPPES is 1220 Hicksville Rd, Seaford, NY 11783-1604.
- What is Southside Faculty Medical Affiliates University Faculty Practice Corp's phone number?
- The practice phone number listed in the NPPES registry for Southside Faculty Medical Affiliates University Faculty Practice Corp is (516) 266-3456.
- Does Southside Faculty Medical Affiliates University Faculty Practice Corp accept Medicare?
- Southside Faculty Medical Affiliates University Faculty Practice Corp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southside Faculty Medical Affiliates University Faculty Practice Corp?
- The authorized official listed on Southside Faculty Medical Affiliates University Faculty Practice Corp's NPPES record is Michele Cusack, Executive Vice President & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Faculty Medical Affiliates University Faculty Practice Corp's NPI active?
- Yes — Southside Faculty Medical Affiliates University Faculty Practice Corp's NPI (1033791058) is active in the NPPES registry as of the last update on 2026-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.