Lake Success Neurological Surgery PC

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

LAKE SUCCESS NEUROLOGICAL SURGERY PC

Practice address

1991 Marcus Ave
Suite 108
New Hyde Park, NY 11042-2057

Phone

(516) 442-2250

Fax

(516) 442-1897

NPI assigned

Jan 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Brisman, M.D.

Title

Ceo

Phone

(516) 255-9031

Specialties & licenses 2

Addresses

Other names 1

• Intra-Operative Monitoring Associates Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Neurological Surgery Practice of Long Island PLLC

  • Neurological Surgery Physician
  • Rockville Centre, NY
  • NPI 1265529424

  Member Of

  NPD member

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1487984522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-442-2250",
            "fax_number": "516-442-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 MARCUS AVE",
            "address_2": "SUITE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422057",
            "telephone_number": "516-442-2250",
            "fax_number": "516-442-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUCCESS NEUROLOGICAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "BRISMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-255-9031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intra-Operative Monitoring Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Ladusch, NP-
• Kin Wai Lai, MD
• Wilson Lai
• Lake Success Health Medical Wellness PC
• Lake Success Medical Associates
• Lake Success Ophthalmic Associates PC
• Lake Success Periodontics and Implants P.C.
• Lake Success Physical Therapy P.C.
• Lake Success RX Corp
• Lake Success Women'S Medical Care

• EEG Specialist/Technologist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• EEG Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.