Organization Active NPI

Cerebrospinal Neurosurgery Specialties PC

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1003204538
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
CEREBROSPINAL NEUROSURGERY SPECIALTIES PC
Practice address
400 E 71St St
#11E
New York, NY 10021-4808
Phone
(347) 603-5647
Fax
(347) 695-1117
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark K Thompson, MD
Title
President
Phone
(347) 603-5647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

400 E 71St St
#11E
New York, NY 10021-4808

Mailing address

400 E 71St St
#11E
New York, NY 10021-4808
Phone (347) 603-5647

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1003204538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 71ST ST",
            "address_2": "#11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214808",
            "telephone_number": "347-603-5647",
            "fax_number": "347-695-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 71ST ST",
            "address_2": "#11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214808",
            "telephone_number": "347-603-5647",
            "fax_number": "347-695-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREBROSPINAL NEUROSURGERY SPECIALTIES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-603-5647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.