Organization Active NPI

Cerberus Medical PLLC

  • Pulmonary Disease Physician
  • Manhasset, NY
National Provider Identifier
1396435905
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CERBERUS MEDICAL PLLC
Practice address
333 E Shore Rd Ste 202
Manhasset, NY 11030-2900
Phone
(516) 418-2099
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Neal Hakimi, MDNPI 1508185471
Title
Physician
Phone
(516) 418-2099

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

333 E Shore Rd Ste 202
Manhasset, NY 11030-2900

Mailing address

77 Cedar Dr
Great Neck, NY 11021-2804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301000785 NY Part B Supplier - Clinic/Group Practice 0840635728 Receives reassigned benefits from 1 practitioner
Practice locations: Manhasset, NY

National Provider Directory

National Provider Directory

Locations

1 Linden Pl
Ste 407
Great Neck, NY 11021
Phone (631) 894-5750

Practitioners & affiliated clinicians

Practitioners 1

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": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1396435905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CEDAR DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E SHORE RD STE 202",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302900",
            "telephone_number": "516-418-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERBERUS MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "HAKIMI",
        "authorized_official_first_name": "NEAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-418-2099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.