Brightwaters Gynecology PC
NPI 1316509979ActiveOrganization· Urology· Sleepy Hollow, NY
Urology in Sleepy Hollow, New York, registered in NPPES in July 2019. The authorized official on file is Michele L. Cusack, Senior Vice President & Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316509979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 3, 2019 |
| Last updated in NPPES | Aug 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Surgery | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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