Organization Active NPI

Great Neck Ny Medical PLLC

  • Clinic/Center
  • Great Neck, NY
National Provider Identifier
1386595932
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREAT NECK NY MEDICAL PLLC
Practice address
255 Great Neck Rd Apt 502
Great Neck, NY 11021-3362
Phone
(516) 660-6344
NPI assigned
Feb 9, 2026
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Maekal ElyasiNPI 1821441890
Title
Member
Phone
(516) 660-6344

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

255 Great Neck Rd Apt 502
Great Neck, NY 11021-3362

Mailing address

255 Great Neck Rd Apt 502
Great Neck, NY 11021-3362
Phone (516) 660-6344

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1386595932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GREAT NECK RD APT 502",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213362",
            "telephone_number": "516-660-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GREAT NECK RD APT 502",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213362",
            "telephone_number": "516-660-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK NY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A",
        "authorized_official_last_name": "ELYASI",
        "authorized_official_first_name": "MAEKAL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-660-6344"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

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

Verify at the official NPI Registry.