Active NPI
Brain & Spine Surgery, P.C.
- Neurological Surgery Physician
- Stony Brook, NY
National Provider Identifier
1457814824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- BRAIN & SPINE SURGERY, P.C.
- Practice address
- 2500 Nesconset Hwy., BLDG 18C
Stony Brook, NY 11790 - Phone
- (631) 751-2700
- Fax
- (631) 751-5853
- NPI assigned
- Apr 11, 2019
- Last updated
- Apr 11, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Magdy S. Shady, M.D.
- Title
- Owner
- Phone
- (631) 751-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
2500 Nesconset Hwy., BLDG 18C
Stony Brook, NY 11790
Mailing address
2500 Nesconset Hwy., BLDG 18C
Stony Brook, NY 11790
Phone (631) 751-2700
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Neurological Surgery Physician
- Stony Brook, NY
- NPI 1073556437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1457814824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY., BLDG 18C",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790",
"telephone_number": "631-751-2700",
"fax_number": "631-751-5853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY., BLDG 18C",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11790",
"telephone_number": "631-751-2700",
"fax_number": "631-751-5853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAIN & SPINE SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "SHADY",
"authorized_official_first_name": "MAGDY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-751-2700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.