NPIMap

Organization Active NPI

New York Neurology and Medical Services P.C

Doing business as New York Neurology & Pain Medicine

  • Neurology Physician
  • Great Neck, NY
National Provider Identifier
1518396308
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
260969 Issued in NY
Legal business name
NEW YORK NEUROLOGY AND MEDICAL SERVICES P.C
Doing business as
New York Neurology & Pain Medicine
Practice address
15 Barstow Rd
Great Neck, NY 11021-2211
Phone
(516) 487-9414
Fax
(516) 487-2302
NPI assigned
Nov 2, 2013
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Dr. Russell Scott Surasky, D.O.NPI 1538484647
Title
Owner
Phone
(516) 487-9414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 002823 NY
Neurology Physician 2084N0400X 260969 NY Primary

Addresses

Primary practice location

15 Barstow Rd
Great Neck, NY 11021-2211

Mailing address

15 Barstow Rd
Great Neck, NY 11021-2211
Phone (516) 487-9414

Other names 1

  • New York Neurology & Pain Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828000160 NY Part B Supplier - Clinic/Group Practice 8426276791 Receives reassigned benefits from 2 practitioners
Practice locations: Farmingdale, NY; Great Neck, NY; Levittown, NY

National Provider Directory

National Provider Directory

Locations

15 Barstow Rd
Great Neck, NY 11021
Phone (516) 487-9414

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1518396308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BARSTOW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212211",
            "telephone_number": "516-487-9414",
            "fax_number": "516-487-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BARSTOW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212211",
            "telephone_number": "516-487-9414",
            "fax_number": "516-487-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEUROLOGY AND MEDICAL SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "SURASKY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-487-9414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NY",
            "license": "002823",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "260969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Neurology & Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.