NPIMap

Organization Active NPI

Long Island Neurological, PC

  • Specialist
  • Ronkonkoma, NY
National Provider Identifier
1639584543
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LONG ISLAND NEUROLOGICAL, PC
Practice address
2805 Veterans Memorial Hwy
Suite 8
Ronkonkoma, NY 11779-7647
Phone
(480) 926-1115
Fax
(480) 813-1868
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Janet L Groschel
Title
Secretary
Phone
(480) 926-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2805 Veterans Memorial Hwy
Suite 8
Ronkonkoma, NY 11779-7647

Mailing address

2805 Veterans Memorial Hwy
Suite 8
Ronkonkoma, NY 11779-7647
Phone (631) 738-8300

National Provider Directory

National Provider Directory
Tax ID family
Long Island Neurological PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1639584543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797647",
            "telephone_number": "631-738-8300",
            "fax_number": "480-813-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797647",
            "telephone_number": "480-926-1115",
            "fax_number": "480-813-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND NEUROLOGICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "GROSCHEL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "480-926-1115"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.