Organization Active NPI

Alex Keller, MD, Facs, PC

  • Specialist
  • Great Neck, NY
National Provider Identifier
1689844755
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
130451 Issued in NY
Legal business name
ALEX KELLER, MD, FACS, PC
Practice address
900 Northern Blvd
Great Neck, NY 11021-5302
Phone
(516) 482-1100
Fax
(516) 482-6328
NPI assigned
Mar 5, 2008
Last updated
Mar 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mrs. Nancy Kemper
Title
Office Administrator
Phone
(516) 482-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 130451 NY Primary

Addresses

Primary practice location

900 Northern Blvd
Great Neck, NY 11021-5302

Mailing address

900 Northern Blvd
Great Neck, NY 11021-5302
Phone (516) 482-1100

National Provider Directory

National Provider Directory

Locations

900 Northern Blvd
Ste 130
Great Neck, NY 11021
Phone (516) 465-8787

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1689844755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215302",
            "telephone_number": "516-482-1100",
            "fax_number": "516-482-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215302",
            "telephone_number": "516-482-1100",
            "fax_number": "516-482-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX KELLER, MD, FACS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "516-482-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "130451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.