Active NPI
Alfred E. Slonim Physician PC
- Molecular Genetic Pathology (Medical Genetics) Physician
- New Hyde Park, NY
National Provider Identifier
1104006717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Molecular Genetic Pathology (Medical Genetics) Physician
- License
- 1574591
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Medical Genetics) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01156725 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI 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.