Organization Active NPI

Ny Neurocare Medical Services, PLLC

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1124630215
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NY NEUROCARE MEDICAL SERVICES, PLLC
Practice address
8321 20TH Ave
Brooklyn, NY 11214-3001
Phone
(718) 996-9888
Fax
(718) 996-2888
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Peggy Chan
Title
Office Manager
Phone
(347) 459-5347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

8321 20TH Ave
Brooklyn, NY 11214-3001

Mailing address

8321 20TH Ave
Brooklyn, NY 11214-3195
Phone (718) 996-9888

Other practice location 1

2205 Hylan Blvd
Staten Island, NY 10306-3319
Phone (718) 996-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202000386 NY Part B Supplier - Clinic/Group Practice 1153735253 Receives reassigned benefits from 3 practitioners
Practice locations: Staten Island, NY; Brooklyn, NY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20049/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1124630215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 20TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143195",
            "telephone_number": "718-996-9888",
            "fax_number": "718-996-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 20TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143001",
            "telephone_number": "718-996-9888",
            "fax_number": "718-996-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063319",
            "country_code": "US",
            "telephone_number": "718-996-9888",
            "fax_number": "718-996-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NY NEUROCARE MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "347-459-5347"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 28, 2026; 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.