Active NPI
Paul B. Ross, MD
- Internal Medicine Physician
- Great Neck, NY
National Provider Identifier
1043446693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 073010
- Practice address
- 18 Fox Hunt LN
Great Neck, NY 11020-1230 - Phone
- (516) 466-4639
- Fax
- (516) 773-4574
- NPI assigned
- Jun 9, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 073010 | NY | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 073010 | NY |
Addresses
Primary practice location
18 Fox Hunt LN
Great Neck, NY 11020-1230
Mailing address
18 Fox Hunt LN
Great Neck, NY 11020-1230
Phone (516) 466-4639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073010 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1043446693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 FOX HUNT LN",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110201230",
"telephone_number": "516-466-4639",
"fax_number": "516-773-4574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 FOX HUNT LN",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110201230",
"telephone_number": "516-466-4639",
"fax_number": "516-773-4574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "PAUL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "073010",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NY",
"license": "073010",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.