Organization Active NPI

Long Island Neurology,P.C.

  • Neurology Physician
  • Bay Shore, NY
National Provider Identifier
1033246426
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
LONG ISLAND NEUROLOGY,P.C.
Practice address
370 E Main St
Suite 1
Bay Shore, NY 11706-8415
Phone
(631) 666-4767
Fax
(631) 665-2153
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daniel Hirsch Cohen, M.D.,PH.D.,NPI 1225080096
Title
President
Phone
(631) 666-4767

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 Primary

Addresses

Primary practice location

370 E Main St
Suite 1
Bay Shore, NY 11706-8415

Mailing address

370 E Main St
Suite 1
Bay Shore, NY 11706-8415
Phone (631) 666-4767

Other identifiers 1

IdentifierTypeStateIssuer
02069143MedicaidNY

National Provider Directory

National Provider Directory

Locations

370 E Main St
Ste 1
Bay Shore, NY 11706
Phone (516) 666-4767

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033246426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068415",
            "telephone_number": "631-666-4767",
            "fax_number": "631-665-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068415",
            "telephone_number": "631-666-4767",
            "fax_number": "631-665-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND NEUROLOGY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "HIRSCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-666-4767",
        "authorized_official_credential": "M.D.,PH.D.,"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02069143",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.