Organization Active NPI

Greater Ny Neurology PC

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1073947156
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GREATER NY NEUROLOGY PC
Practice address
8686 Bay Pkwy
Suite 1M-2M
Brooklyn, NY 11214-5602
Phone
(718) 544-4200
Fax
(718) 544-4201
NPI assigned
Aug 26, 2013
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Ellen Edgar, MDNPI 1326343625
Title
Medical Director
Phone
(718) 544-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

8686 Bay Pkwy
Suite 1M-2M
Brooklyn, NY 11214-5602

Mailing address

1311 Brightwater Ave
Ste 18Ij
Brooklyn, NY 11235-5962
Phone (718) 544-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140304000515 NY Part B Supplier - Clinic/Group Practice 2567692916 Receives reassigned benefits from 10 practitioners
Practice locations: Astoria, NY; Hicksville, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

225 Broadway
Ste 705
New York, NY 10007
Phone (212) 349-2787

274 Madison Ave
Rm 304
New York, NY 10016
Phone (212) 349-2787

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1073947156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BRIGHTWATER AVE",
            "address_2": "STE 18IJ",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355962",
            "telephone_number": "718-544-4200",
            "fax_number": "718-544-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8686 BAY PKWY",
            "address_2": "SUITE 1M-2M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145602",
            "telephone_number": "718-544-4200",
            "fax_number": "718-544-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NY NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-544-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.