Organization Active NPI

Department of Neurosurgery, PLLC

  • General Practice Physician
  • Carmel, NY
National Provider Identifier
1356651202
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DEPARTMENT OF NEUROSURGERY, PLLC
Practice address
667 Stoneleigh Ave Ste 118
Carmel, NY 10512-2458
Phone
(845) 244-0488
Fax
(866) 981-5080
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Authorized official

Name
P. Charles Garell
Title
Owner
Phone
(845) 244-0488

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Home Infusion Agency 251F00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

667 Stoneleigh Ave Ste 118
Carmel, NY 10512-2458

Mailing address

667 Stoneleigh Ave Ste 118
Carmel, NY 10512-2458
Phone (845) 244-0488

Other names 1

  • Country Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110404000476 NY Part B Supplier - Clinic/Group Practice 3577747351 Receives reassigned benefits from 5 practitioners
Practice locations: Carmel, NY

National Provider Directory

National Provider Directory

Locations

667 Stoneleigh Ave
Ste 118
Carmel, NY 10512
Phone (845) 244-0488

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741478400000",
    "number": "1356651202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 118",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122458",
            "telephone_number": "845-244-0488",
            "fax_number": "866-981-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 118",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122458",
            "telephone_number": "845-244-0488",
            "fax_number": "866-981-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF NEUROSURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A",
        "authorized_official_last_name": "GARELL",
        "authorized_official_first_name": "P. CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-244-0488"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; 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.