Active NPI
Greater New York Lithotripsy, LLC
- Lithotripsy Clinic/Center
- Brooklyn, NY
National Provider Identifier
1093850356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lithotripsy Clinic/Center
- Legal business name
- GREATER NEW YORK LITHOTRIPSY, LLC
- Doing business as
- NY Stone Center
- Practice address
- 339 Hicks St
At Long Island College Hospital 7TH FLR Othmer
Brooklyn, NY 11201-5509 - Phone
- (718) 780-1118
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marwan Atallah, M.D.
- Title
- President
- Phone
- (718) 643-9371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lithotripsy Clinic/Center | 261QL0400X | Primary |
Addresses
Primary practice location
339 Hicks St
At Long Island College Hospital 7TH FLR Othmer
Brooklyn, NY 11201-5509
Mailing address
142 Joralemon St Ste 14C
Brooklyn, NY 11201-4709
Phone (718) 643-9371
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137987P | Other | NE | HIP PRISS |
| 2500316 | Other | NY | AETNA HMO |
| 7881858 | Other | NE | AETNA PPO |
Other names 1
- NY Stone Center
National Provider Directory
National Provider DirectoryLocations
142 Joralemon St
Ste 14C
Brooklyn, NY 11201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093850356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 JORALEMON ST STE 14C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014709",
"telephone_number": "718-643-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 HICKS ST",
"address_2": "AT LONG ISLAND COLLEGE HOSPITAL 7TH FLR OTHMER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015509",
"telephone_number": "718-780-1118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER NEW YORK LITHOTRIPSY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ATALLAH",
"authorized_official_first_name": "MARWAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-643-9371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QL0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Lithotripsy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP PRISS",
"identifier": "137987P",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2500316",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7881858",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NY Stone Center",
"code": "3",
"type": "Doing Business As"
}
]
}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 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.