Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John J Santucci, MD

Individual provider Cardiovascular Disease Physician · NPI 1194728063

Dr. John J Santucci, MD is an Internal Medicine in Lake Success, New York. Graduated from Georgetown University School of Medicine in 1987, 39 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Trained at
Georgetown University School of Medicine
Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1999 Marcus Ave Ste 110
Lake Success, NY 11042-1017
Phone: (516) 355-5525
Fax: (516) 355-5531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 176343 (NY)

Record details

NPI number1194728063
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2005
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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