Organization Active NPI

Gerald J. Smallberg, M.D. P.C.

  • Neurology Physician
  • New York, NY
National Provider Identifier
1023264926
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
123788 Issued in NY
Legal business name
GERALD J. SMALLBERG, M.D. P.C.
Practice address
1010 5TH Ave
New York, NY 10028-0130
Phone
(212) 535-5348
Fax
(212) 535-6406
NPI assigned
Aug 11, 2008
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Dr. Gerald Smallberg, M.D.NPI 1386758696
Title
President
Phone
(212) 535-5348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 123788 NY Primary

Addresses

Primary practice location

1010 5TH Ave
New York, NY 10028-0130

Mailing address

1010 5TH Ave
New York, NY 10028-0130
Phone (212) 535-5348

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1023264926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280130",
            "telephone_number": "212-535-5348",
            "fax_number": "212-535-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280130",
            "telephone_number": "212-535-5348",
            "fax_number": "212-535-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD J. SMALLBERG, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "SMALLBERG",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-535-5348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "123788",
            "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 Aug 11, 2008; 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.