Active NPI
Alex Keller, MD, Facs, PC
- Specialist
- Great Neck, NY
National Provider Identifier
1689844755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 130451
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.