Main Street Medical, P.C. - Neurology

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

MAIN STREET MEDICAL, P.C. - NEUROLOGY

Practice address

5645 Main St
Flushing, NY 11355-5045

Phone

(718) 670-2900

Fax

(718) 661-7827

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Dora Hartofilis

Title

Acting Director of Billing

Phone

(718) 661-8711

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Main Street Medical PC - Neurology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Main Street Medical, P.C. Pulmonary

  • Pulmonary Disease Physician
  • Flushing, NY
  • NPI 1760446652
  NPD tax ID

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1407810385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27842",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100877842",
            "telephone_number": "718-661-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555045",
            "telephone_number": "718-670-2900",
            "fax_number": "718-661-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDICAL, P.C. - NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "HARTOFILIS",
        "authorized_official_first_name": "DORA",
        "authorized_official_title_or_position": "ACTING DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "718-661-8711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01115737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Main St Acupuncture PC
• Main Street Diagnostic Inc
• Main Street Drugs Inc.
• Main Street Footcare, PLLC
• Main Street Medical Services, PLLC
• Main Street Medical, P.C. Pulmonary
• Main Street Medical, PC
• Main Street Radiology at Bayside LLC
• Main Street Radiology at Bayside LLC
• Main Street RX Corp

• Neurological Surgery Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.