Organization Active NPI

Brookville Hematology Oncology PLLC

  • Hematology & Oncology Physician
  • Glen Head, NY
National Provider Identifier
1407090616
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
170701 Issued in NY
Legal business name
BROOKVILLE HEMATOLOGY ONCOLOGY PLLC
Practice address
333 Glen Head Rd
Suite 210
Glen Head, NY 11545-1947
Phone
(516) 609-3010
Fax
(516) 609-3012
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. George Zervos, MDNPI 1487702544
Title
Owner
Phone
(516) 609-3010

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
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 170701 NY Primary

Addresses

Primary practice location

333 Glen Head Rd
Suite 210
Glen Head, NY 11545-1947

Mailing address

333 Glen Head Rd
Suite 210
Glen Head, NY 11545-1947
Phone (516) 609-3010

National Provider Directory

National Provider Directory

Locations

333 Glen Head Rd
Ste 210
Glen Head, NY 11545
Phone (516) 609-3010

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": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1407090616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "SUITE 210",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451947",
            "telephone_number": "516-609-3010",
            "fax_number": "516-609-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN HEAD RD",
            "address_2": "SUITE 210",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451947",
            "telephone_number": "516-609-3010",
            "fax_number": "516-609-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVILLE HEMATOLOGY ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "ZERVOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-609-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "170701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.