Organization Active NPI

M.Shareeff.Neurology,P.C.

  • Neurology Physician
  • Huntington,, NY
National Provider Identifier
1164629200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
225943 Issued in NY
Legal business name
M.SHAREEFF.NEUROLOGY,P.C.
Practice address
M.Shareeff.Neurology,P.C.
158,East Main Street,#1,
Huntington,, NY 11743
Phone
(631) 271-5550
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leena Khaneja
Title
Billing Manager
Phone
(516) 693-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 225943 NY Primary

Addresses

Primary practice location

M.Shareeff.Neurology,P.C.
158,East Main Street,#1,
Huntington,, NY 11743

Mailing address

1100 Shames Dr
Suite 100
Westbury, NY 11590-1765
Phone (516) 693-0700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164629200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAMES DR",
            "address_2": "SUITE 100",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901765",
            "telephone_number": "516-693-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M.SHAREEFF.NEUROLOGY,P.C.",
            "address_2": "158,EAST MAIN STREET,#1,",
            "city": "HUNTINGTON,",
            "state": "NY",
            "postal_code": "11743",
            "telephone_number": "631-271-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.SHAREEFF.NEUROLOGY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHANEJA",
        "authorized_official_first_name": "LEENA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-693-0700"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "225943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington,, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.