Active NPI
Great Neck Rheumatology PLLC
- Rheumatology Physician
- Great Neck, NY
National Provider Identifier
1255264131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- Legal business name
- GREAT NECK RHEUMATOLOGY PLLC
- Practice address
- 1000 Northern Blvd Ste 260
Great Neck, NY 11021-5341 - Phone
- (516) 928-6512
- NPI assigned
- Jun 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shu Cao
- Title
- Managing Member
- Phone
- (516) 928-6512
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Primary |
Addresses
Primary practice location
1000 Northern Blvd Ste 260
Great Neck, NY 11021-5341
Mailing address
1000 Northern Blvd Ste 260
Great Neck, NY 11021-5341
National Provider Directory
National Provider DirectoryLocations
1000 Northern Blvd
Ste 260
Great Neck, NY 11021
Phone (516) 928-6512
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Great Neck, NY
- NPI 1356837009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1255264131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD STE 260",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NORTHERN BLVD STE 260",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215341",
"telephone_number": "516-928-6512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT NECK RHEUMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "CAO",
"authorized_official_first_name": "SHU",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "516-928-6512"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
- Great Neck Pediatric Associates, PC
- Great Neck Podiatry Associates
- Great Neck Podiatry Associates
- Great Neck Public Schools
- Great Neck Radiologists, PC
- Great Neck RX Inc. (Pillsource Pharmacy Inc.)
- Great Neck Vascular Surgery PC
- Shari B Green, M.D.
- Michael Lance Greenbaum, DDS
- Andrew Scott Greenberg, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.