Individual provider Active NPI

Yusef Imani, MD

  • Neurological Surgery Physician
  • Rockville Centre, NY
National Provider Identifier
1114246543
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
307619 Issued in NY
Practice address
100 Merrick Rd Ste 128W
Rockville Centre, NY 11570-4821
Phone
(516) 255-9031
Fax
(516) 255-6230
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2018030700 MO
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 307619 NY Primary

Addresses

Primary practice location

100 Merrick Rd Ste 128W
Rockville Centre, NY 11570-4821

Mailing address

100 Merrick Rd Ste 128W
Rockville Centre, NY 11570-4821
Phone (516) 255-9031

Other practice location 1

4320 Wornall Rd Ste 2000
Kansas City, MO 64111-5941
Phone (816) 932-2700

Other practice location 2

1 Tampa General Cir # J402
Tampa, FL 33606-3571
Phone (813) 844-7412

Other practice location 3

1991 Marcus Ave Ste 108
New Hyde Park, NY 11042-2062
Phone (516) 255-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180205001423 PA Practitioner - Neurosurgery 6901179381 Reassigns benefits to 2 organizations
I20201215000602 NY Practitioner - Neurosurgery 6901179381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Surgery Practice of Long Island PLLCGroup PAC ID 0345131785, 14 clinicians

Practice addresses (Care Compare)

100 Merrick Rd
128W
Rockville Centre, NY 11570-4821
Phone 516442346110

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion45
Laminectomy or laminotomy (partial removal of spine bones)23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
307619NYMDLicensed Practical Nurse
2018030700MOMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 29, 2021 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 29, 2021 Accepting new patients
Neurological Surgery Practice of Long Island PLLC Neurological Surgery CurrentSince Sep 5, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Guthrie Medical Group, P.C. Neurological Surgery CurrentSince Apr 6, 2018 Accepting new patients
Guthrie Medical Group, P.C. Neurological Surgery CurrentSince Apr 6, 2018 Accepting new patients
NSPC Plastics PastSince Sep 5, 2020 Accepting new patients

Locations

1991 Marcus Ave
Ste 108
New Hyde Park, NY 11042
Phone (516) 442-2250

100 Merrick Rd
Ste 100W
Rockville Ctr, NY 11570
Phone (516) 632-7050

100 Merrick Rd
Ste 128W
Rockville Ctr, NY 11570
Phone (516) 255-9031

1111 Franklin St
Ste 130
Johnstown, PA 15905
Phone (814) 534-5724

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: ymosley435037@nyumc.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1114246543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 128W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704821",
            "telephone_number": "516-255-9031",
            "fax_number": "516-255-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 128W",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704821",
            "telephone_number": "516-255-9031",
            "fax_number": "516-255-6230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Wornall Rd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641115941",
            "country_code": "US",
            "telephone_number": "816-932-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tampa General Cir # J402",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-844-7412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 Marcus Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110422062",
            "country_code": "US",
            "telephone_number": "516-255-9031",
            "fax_number": "516-255-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMANI",
        "first_name": "YUSEF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2018030700",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "307619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.