Organization Active NPI

Gotham Neurosurgery, PLLC

  • Neurological Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1124291687
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
217215 Issued in NY
Legal business name
GOTHAM NEUROSURGERY, PLLC
Practice address
240 Willoughby St
Suite 4E
Brooklyn, NY 11201-5465
Phone
(718) 250-8103
Fax
(718) 250-6977
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Anders Jonathan Cohen, D.O,
Title
President
Phone
(718) 250-8103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 217215 NY Primary

Addresses

Primary practice location

240 Willoughby St
Suite 4E
Brooklyn, NY 11201-5465

Mailing address

240 Willoughby St
Suite 4E
Brooklyn, NY 11201-5465
Phone (718) 250-8103

Other identifiers 1

IdentifierTypeStateIssuer
02659387MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1124291687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-8103",
            "fax_number": "718-250-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "SUITE 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-8103",
            "fax_number": "718-250-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM NEUROSURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ANDERS",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-250-8103",
        "authorized_official_credential": "D.O,"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "217215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02659387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.