Ettinger Medical Services PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ETTINGER MEDICAL SERVICES PLLC

Practice address

25 Brycewood Dr
Dix Hills, NY 11746-4906

Phone

(631) 974-7236

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Alan Ettinger, MDNPI 1467432625

Title

Owner

Phone

(631) 974-7236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan B Ettinger, MD

  • Neurology Physician
  • Commack, NY
  • NPI 1467432625
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1114639309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20550",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117460864",
            "telephone_number": "631-974-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRYCEWOOD DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464906",
            "telephone_number": "631-974-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETTINGER MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ETTINGER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-974-7236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hatem Hussein Elmissir, DDS
• Em-Sapa
• Empire Medical Supplies and Services
• Empite Tele-Psychotherapy LCSW PLLC
• Chantal Fong Espert
• Jessica Evans
• Joshua Ewell, DO
• Heidi Faccini, CCC/LSP
• Janet Faello, LMT
• Susan Fagan, LCSW

• Neurology Physician in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.