Active NPI
Neurology and Neurosurgery of New York
- Neurological Surgery Physician
- Jericho, NY
National Provider Identifier
1609673185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- NEUROLOGY AND NEUROSURGERY OF NEW YORK
- Practice address
- 366 N Broadway Ste 305
Jericho, NY 11753-2000 - Phone
- (516) 814-2139
- NPI assigned
- Mar 3, 2025
- Last updated
- Mar 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Weintraub, MD
- Title
- President
- Phone
- (917) 446-1047
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
366 N Broadway Ste 305
Jericho, NY 11753-2000
Mailing address
2025 Broadway Apt 29D
New York, NY 10023-5017
Phone (917) 446-1047
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Neurological Surgery Physician
- Jericho, NY
- NPI 1417191750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1609673185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 BROADWAY APT 29D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235017",
"telephone_number": "917-446-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 N BROADWAY STE 305",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532000",
"telephone_number": "516-814-2139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY AND NEUROSURGERY OF NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-02",
"status": "A",
"authorized_official_last_name": "WEINTRAUB",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-446-1047",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.