Organization Active NPI

Greater Long Island Medical Services PLLC

  • Surgery Physician
  • Garden City, NY
National Provider Identifier
1689980377
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
145108 Issued in NY
Legal business name
GREATER LONG ISLAND MEDICAL SERVICES PLLC
Practice address
990 Stewart Ave
Suite 400
Garden City, NY 11530-4822
Phone
(516) 222-2022
Fax
(516) 222-8475
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Miss Leslie J Bay
Title
Director of Billing
Phone
(516) 222-2022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 145108 NY Primary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 142910 NY

Addresses

Primary practice location

990 Stewart Ave
Suite 400
Garden City, NY 11530-4822

Mailing address

990 Stewart Ave
Suite 400
Garden City, NY 11530-4822
Phone (516) 222-2022

National Provider Directory

National Provider Directory

Locations

243 Willis Ave
Mineola, NY 11501
Phone (516) 742-1730

2001 Marcus Ave
Ste W270
New Hyde Park, NY 11042
Phone (516) 775-7676

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1689980377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 400",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "address_2": "SUITE 400",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LONG ISLAND MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "BAY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "516-222-2022",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "145108",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "142910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.