Active NPI
Metroneurosurgery, P.C.
- Neurological Surgery Physician
- Bronx, NY
National Provider Identifier
1346476769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- METRONEUROSURGERY, P.C.
- Practice address
- 4422 3Rd Ave
Bronx, NY 10457-2545 - Phone
- (718) 960-3788
- NPI assigned
- Jun 1, 2009
- 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
- Kathryn Ko, M.D.
- Title
- President/Owner
- Phone
- (718) 960-3788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
4422 3Rd Ave
Bronx, NY 10457-2545
Mailing address
45 Tudor City PL
Suite 1503
New York, NY 10017-7601
Phone (718) 960-3788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03192972 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302134400000",
"number": "1346476769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 TUDOR CITY PL",
"address_2": "SUITE 1503",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100177601",
"telephone_number": "718-960-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572545",
"telephone_number": "718-960-3788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRONEUROSURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-01",
"last_updated": "2011-04-07",
"status": "A",
"authorized_official_last_name": "KO",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "718-960-3788",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03192972",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.