Active NPI
Greenvale Medical Services PC
- Anesthesiology Physician
- Greenvale, NY
National Provider Identifier
1104387497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- GREENVALE MEDICAL SERVICES PC
- Practice address
- 2200 Northern Blvd Ste 212
Greenvale, NY 11548-1220 - Phone
- (516) 590-3700
- NPI assigned
- Mar 28, 2019
- Last updated
- Jul 2, 2021
- 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
- Neeraj Kaushik, MD
- Title
- Owner
- Phone
- (516) 590-3700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | NU | Primary | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | NU |
Addresses
Primary practice location
2200 Northern Blvd Ste 212
Greenvale, NY 11548-1220
Mailing address
PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2030
National Provider Directory
National Provider DirectoryLocations
2200 Northern Blvd
Ste 212
Greenvale, NY 11548
Phone (516) 590-3700
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- Greenvale, NY
- NPI 1376517847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625184000000",
"number": "1104387497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117620270",
"telephone_number": "631-264-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NORTHERN BLVD STE 212",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481220",
"telephone_number": "516-590-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENVALE MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-28",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"status": "A",
"authorized_official_last_name": "KAUSHIK",
"authorized_official_first_name": "NEERAJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-590-3700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenvale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.