Organization Active NPI

Medical Services of New Hyde Park PC

  • Neurology Physician
  • Port Jefferson Station, NY
National Provider Identifier
1598418568
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MEDICAL SERVICES OF NEW HYDE PARK PC
Practice address
1010 Route 112 Ste 300
Port Jefferson Station, NY 11776-3386
Phone
(631) 886-4805
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Coleen Hansen
Title
Director of Finance
Phone
(516) 992-4563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1010 Route 112 Ste 300
Port Jefferson Station, NY 11776-3386

Mailing address

275 Sunrise Hwy
Merrick, NY 11566-3729
Phone (516) 992-4563

National Provider Directory

National Provider Directory

Locations

275 Sunrise Hwy
Merrick, NY 11566

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1598418568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SUNRISE HWY",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663729",
            "telephone_number": "516-992-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ROUTE 112 STE 300",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763386",
            "telephone_number": "631-886-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF NEW HYDE PARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "516-992-4563"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.