Organization Active NPI

Centurion Palm Beach LLC

  • Anesthesiology Physician
  • Valley Stream, NY
National Provider Identifier
1669310074
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CENTURION PALM BEACH LLC
Practice address
811 Wilson St
Valley Stream, NY 11581-3527
Phone
(718) 301-8600
NPI assigned
Mar 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Avishai Neuman, MD
Title
Owner
Phone
(917) 681-4963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

811 Wilson St
Valley Stream, NY 11581-3527

Mailing address

811 Wilson St
Valley Stream, NY 11581-3527
Phone (718) 301-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1669310074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 WILSON ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813527",
            "telephone_number": "718-301-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 WILSON ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813527",
            "telephone_number": "718-301-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION PALM BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "AVISHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-681-4963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.