Great Neck Pediatric Associates, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GREAT NECK PEDIATRIC ASSOCIATES, PC

Practice address

173 E Shore Rd
202
Great Neck, NY 11023-2415

Phone

(516) 487-4020

Fax

(516) 487-4039

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gilbert Dick, MDNPI 1447351960

Title

President

Phone

(516) 487-4020

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gilbert Dick, M.D.

  • Pediatrics Physician
  • Great Neck, NY
  • NPI 1447351960
  NPD (past) Authorized official
• Stephanie L Rosen, M.D.

  • Pediatrics Physician
  • Great Neck, NY
  • NPI 1174624639
  NPD (past)
• Susan H Swezey, M.D.

  • Pediatrics Physician
  • Great Neck, NY
  • NPI 1649367913
  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1679010391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 EAST SHORE RD",
            "address_2": "202",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-487-4020",
            "fax_number": "516-487-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 E SHORE RD",
            "address_2": "202",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110232415",
            "telephone_number": "516-487-4020",
            "fax_number": "516-487-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK PEDIATRIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-487-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Neck Obstetrics & Gynecology PC
• Great Neck Occupational Therapy
• Great Neck Optical Inc
• Great Neck Optometrist, P.C.
• Great Neck Orthodontics PLLC
• Great Neck Podiatry Associates
• Great Neck Podiatry Associates
• Great Neck Public Schools
• Great Neck Radiologists, PC
• Great Neck Rheumatology PLLC

• Pediatrics Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.