Tal Mednick MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

TAL MEDNICK MD PC

Practice address

350 Veterans Memorial Hwy Ste 2
Commack, NY 11725-4316

Phone

(631) 309-5222

Fax

(631) 303-3380

NPI assigned

Jul 20, 2022

Organization subpart

No

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

Authorized official

Name

Tal Mednick, MDNPI 1700105590

Title

President

Phone

(631) 309-5222

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Tal Mednick, MD

  • Neurology Physician
  • Commack, NY
  • NPI 1700105590
  Medicare reassignment NPD Authorized official
• Michelle L. Delevante, LCSW

  • Clinical Social Worker
  • West Babylon, NY
  • NPI 1871633057
  NPD (past)
• Stacy F Messmer, LCSW

  • Clinical Social Worker
  • Mineola, NY
  • NPI 1790074920
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1306571740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VETERANS MEMORIAL HWY STE 2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254316",
            "telephone_number": "631-309-5222",
            "fax_number": "631-303-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 VETERANS MEMORIAL HWY STE 2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254316",
            "telephone_number": "631-309-5222",
            "fax_number": "631-303-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAL MEDNICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "MEDNICK",
        "authorized_official_first_name": "TAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-309-5222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "270642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Swantek, MS SP ED
• Nicole Brooke Sweeney
• Lauren Emily Sweezey, LMHC-D
• Pamela A. Sydney, M.S., CCC-SLP
• Sarah S Syed, D.O.
• Talking Time
• Talking Time
• Natalie Ann Tamborski, L.C.S.W.
• Stacey Tanenbaum
• Jessica Lauren Tannenbaum, LCSW

• Neurology Physician in Commack, NY
• Providers in Commack, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.