Organization Active NPI

Manhattan Neurosurgery PC

  • Neurological Surgery Physician
  • New York, NY
National Provider Identifier
1659797488
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
154813 Issued in NY
Legal business name
MANHATTAN NEUROSURGERY PC
Practice address
1 W 85TH St
Apt 1C
New York, NY 10024-4134
Phone
(212) 600-4879
Fax
(212) 496-8548
NPI assigned
Mar 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Robert Goodman, MD
Title
Admin
Phone
(212) 600-4879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 154813 NY Primary

Addresses

Primary practice location

1 W 85TH St
Apt 1C
New York, NY 10024-4134

Mailing address

1 W 85TH St
Apt 1C
New York, NY 10024-4134
Phone (212) 600-4879

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1659797488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W 85TH ST",
            "address_2": "APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244134",
            "telephone_number": "212-600-4879",
            "fax_number": "212-496-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W 85TH ST",
            "address_2": "APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244134",
            "telephone_number": "212-600-4879",
            "fax_number": "212-496-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "212-600-4879",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "154813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.