Michael J Neely DO, PLLC

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

MICHAEL J NEELY DO, PLLC

Practice address

853 Broadway
Suite 200
New York, NY 10003-4703

Phone

(212) 750-1110

Fax

(212) 750-1140

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Adam A Banks

Title

Ceo

Phone

(212) 750-1110

Specialties & licenses 2

Addresses

Other names 1

• NY SportsMed and Physical Therapy Doing business as

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1497059901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 BROADWAY",
            "address_2": "SUITE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034703",
            "telephone_number": "212-750-1110",
            "fax_number": "212-750-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BROADWAY",
            "address_2": "SUITE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034703",
            "telephone_number": "212-750-1110",
            "fax_number": "212-750-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J NEELY DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-750-1110"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NY SportsMed and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Ghalchi MD PC
• Michael H Cohen MD PC
• Michael Herman DDS,PLLC
• Michael J Collura, D.M.D., P.C.
• Michael J Neely DO PLLC
• Michael J Newton MD
• Michael J. Albom MD P C
• Michael J. Brunetti, D.P.M., P.C.
• Michael J. Chandler MD, PLLC
• Michael J. Schmerin, MD PC

• Sports Medicine (Internal Medicine) Physician in New York, NY
• Providers in New York, NY by specialty
• Sports Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.