Individual provider Active NPI

Stephen H Rabinowitz, MD

  • Cardiovascular Disease Physician
  • Great Neck, NY
National Provider Identifier
1659311884
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
109324 Issued in NY
Practice address
125 Longfellow Rd
Great Neck, NY 11023-1843
Phone
(516) 829-5258
NPI assigned
Jun 7, 2006
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 109324 NY Primary

Addresses

Primary practice location

125 Longfellow Rd
Great Neck, NY 11023-1843

Mailing address

125 Longfellow Rd
Great Neck, NY 11023-1843
Phone (516) 829-5258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229000260 NY Practitioner - Cardiovascular Disease (Cardiology) 8325361264 Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109324NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PRN Physical Therapy PC Past Accepting new patients
Queens Long Island Medical Group, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1659311884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LONGFELLOW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231843",
            "telephone_number": "516-829-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LONGFELLOW RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231843",
            "telephone_number": "516-829-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABINOWITZ",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "109324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.