Active NPI
Govindan Gopinathan, M.D.
- Neurology Physician
- New York, NY
National Provider Identifier
1164508693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 129636
- Practice address
- 650 1St Ave
New York, NY 10016-3240 - Phone
- (212) 213-9559
- Fax
- (212) 689-6784
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 129636 | NY | Primary |
Addresses
Primary practice location
650 1St Ave
New York, NY 10016-3240
Mailing address
650 1St Ave
New York, NY 10016-3240
Phone (212) 213-9559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53A971 | Other | NY | PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Consultants of New York, P.C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- New York, NY
- NPI 1396815478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164508693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163240",
"telephone_number": "212-213-9559",
"fax_number": "212-689-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163240",
"telephone_number": "212-213-9559",
"fax_number": "212-689-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOPINATHAN",
"first_name": "GOVINDAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "129636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "53A971",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.