New York Neurosurgical PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

60-170107

Legal business name

NEW YORK NEUROSURGICAL PLLC

Practice address

4 Lafayette CT
Fishkill, NY 12524-3036

Phone

(845) 896-9200

Fax

(845) 896-3262

NPI assigned

Apr 14, 2008

Last updated

Mar 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Kenneth Jacobs, M.D., PHD.NPI 1518957182

Title

Owner

Phone

(845) 896-9200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Kenneth Jacobs, M.D.

  • Neurological Surgery Physician
  • Fishkill, NY
  • NPI 1518957182
  Medicare reassignment Care Compare group NPD Authorized official
• Debra A Petrucci, M.D.

  • Neurological Surgery Physician
  • Fishkill, NY
  • NPI 1952345761
  Medicare reassignment Care Compare group NPD
• Russell M. Higley, P.A.

  • Physician Assistant
  • Fishkill, NY
  • NPI 1124283684
  NPD (past)
• Amy B Trachter, PSY.D.,PH.D.

  • Clinical Psychologist
  • New York, NY
  • NPI 1184892986
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1700050556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243036",
            "telephone_number": "845-896-9200",
            "fax_number": "845-896-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LAFAYETTE CT",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125243036",
            "telephone_number": "845-896-9200",
            "fax_number": "845-896-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEUROSURGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-896-9200",
        "authorized_official_credential": "M.D., PHD."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": "60-170107",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "170107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Nathanson, O.D.
• National Vision, Inc.
• Kristen Nelson, DPT
• Suellen Nelson, P.A.-C
• New Generation (Dream Wigs Boutique)
• John C Nichols, MD
• Nicos Nicolaou, M.D.
• Denise Nieves, LMT
• Niki Patel MD PC
• Laila Noor, MD

• Neurological Surgery Physician in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.