Active NPI
Roshanda Nicole Neal, MS.ED
- Specialist
- Syosset, NY
National Provider Identifier
1063776185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 836691
- Practice address
- 47 Humphrey Dr
Syosset, NY 11791-4022 - Phone
- (516) 921-7171
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 836691 | NY | Primary |
| Specialist | 174400000X | 1880802 | NY |
Addresses
Primary practice location
47 Humphrey Dr
Syosset, NY 11791-4022
Mailing address
39 Summer Ave
Great Neck, NY 11020-1525
Phone (516) 582-8978
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1880802 | Other | NY | CHILDHOOD 1-6 TEACHER CERTIFICATION |
| 836691 | Other | NY | BIRTH-2 TEACHER CERTIFICATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1880802 | NY | MD | Specialist |
| 836691 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1063776185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SUMMER AVE",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110201525",
"telephone_number": "516-582-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 HUMPHREY DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914022",
"telephone_number": "516-921-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "ROSHANDA",
"middle_name": "NICOLE",
"credential": "MS.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "836691",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1880802",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDHOOD 1-6 TEACHER CERTIFICATION",
"identifier": "1880802",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BIRTH-2 TEACHER CERTIFICATION",
"identifier": "836691",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
- Reena Nandi, MD
- Santa Radha Nandi, MD
- Nassau Medical Home Visits P.C.
- Laura Anne Naughton, COTA/L
- Navi Transportation Inc.
- Alyse Adelstein Nendza, P.T.
- New York College of Health Professions
- New York Physical and Occupational Therapy PLLC (Complete Care Physical Therapy at Sportset)
- Kathleen Mary Newberg
- Rebecca Newfield, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.