Organization Active NPI

Alfred E. Slonim Physician PC

  • Molecular Genetic Pathology (Medical Genetics) Physician
  • New Hyde Park, NY
National Provider Identifier
1104006717
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Medical Genetics) PhysicianTaxonomy code 207SM0001X
License
1574591 Issued in NY
Legal business name
ALFRED E. SLONIM PHYSICIAN PC
Practice address
2001 Marcus Ave
Suite N210
New Hyde Park, NY 11042-1011
Phone
(516) 616-0074
Fax
(516) 616-9388
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Dr. Alfred E. Slonim
Title
Director
Phone
(516) 616-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Medical Genetics) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SM0001X 1574591 NY Primary

Addresses

Primary practice location

2001 Marcus Ave
Suite N210
New Hyde Park, NY 11042-1011

Mailing address

2001 Marcus Ave
Suite N210
New Hyde Park, NY 11042-1011
Phone (516) 616-0074

Other identifiers 1

IdentifierTypeStateIssuer
01156725MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1104006717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N210",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-616-0074",
            "fax_number": "516-616-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N210",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-616-0074",
            "fax_number": "516-616-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED E. SLONIM PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "SLONIM",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-616-0074",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207SM0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "NY",
            "license": "1574591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01156725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.