NPIMap

Organization Active NPI

Gotham Spine and Brain Surgery, PLLC

  • Neurological Surgery Physician
  • Yonkers, NY
National Provider Identifier
1093532954
Registry record updated Nov 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
GOTHAM SPINE AND BRAIN SURGERY, PLLC
Practice address
970 N Broadway Ste 204
Yonkers, NY 10701-1310
Phone
(914) 303-6548
Fax
(914) 303-6435
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2024

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

Authorized official

Name
Simon Morr, MDNPI 1245541267
Title
Principal
Phone
(917) 660-1137

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X

Addresses

Primary practice location

970 N Broadway Ste 204
Yonkers, NY 10701-1310

Mailing address

1177 High Ridge Rd Ste 102
Stamford, CT 06905-1221
Phone (917) 488-8868

Other names 1

  • Morr Neurosurgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213002146 NY Part B Supplier - Clinic/Group Practice 9638609142 Receives reassigned benefits from 11 practitioners
Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory

Locations

1177 High Ridge Rd
Ste 141
Stamford, CT 06905

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731196800000",
    "number": "1093532954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 HIGH RIDGE RD STE 102",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069051221",
            "telephone_number": "917-488-8868",
            "fax_number": "914-303-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N BROADWAY STE 204",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011310",
            "telephone_number": "914-303-6548",
            "fax_number": "914-303-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM SPINE AND BRAIN SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-11-10",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "MORR",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-660-1137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morr Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2024; 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.