Media Neurology PC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

201502 Issued in NY

Legal business name

MEDIA NEUROLOGY PC

Practice address

2000 Kings Highway
Suite 1E
Brooklyn, NY 11229-1445

Phone

(718) 787-1525

Fax

(718) 787-1530

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. German Laufer, MD

Title

Owner

Phone

(718) 787-1525

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477607919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KINGS HIGHWAY",
            "address_2": "SUITE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291445",
            "telephone_number": "718-787-1525",
            "fax_number": "718-787-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KINGS HIGHWAY",
            "address_2": "SUITE 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291445",
            "telephone_number": "718-787-1525",
            "fax_number": "718-787-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIA NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUFER",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-787-1525",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "201502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0000210738703",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01659609",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2525397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neurology with Special Qualifications in Child Neurology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.