Individual provider Active NPI

Tal Mednick, MD

  • Neurology Physician
  • Commack, NY
National Provider Identifier
1700105590
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
270642 Issued in NY
Practice address
350 Veterans Memorial Hwy Ste 2
Commack, NY 11725-4316
Phone
(631) 309-5222
Fax
(631) 303-3380
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 270642 NY Primary

Addresses

Primary practice location

350 Veterans Memorial Hwy Ste 2
Commack, NY 11725-4316

Mailing address

350 Veterans Memorial Hwy Ste 2
Commack, NY 11725-4316
Phone (631) 309-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028002933 NY Practitioner - NeurologyPractitioner - Psychiatry 8426279803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Glen St
Suite 103
Glen Cove, NY 11542-2783
Phone (631) 309-5222

350 Veterans Memorial Hwy
Suite 2
Commack, NY 11725-4316
Phone (718) 806-1434

Hospital & facility affiliations

  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Feb 1, 2016 Accepting new patients
Tal Mednick MD PC Neurology CurrentSince Jun 1, 2022 Accepting new patients
CHS Physician Partners, PC Current Accepting new patients

Locations

350 Veterans Memorial Hwy
Ste 2
Commack, NY 11725
Phone (516) 344-7975

15 Glen St
Ste 103
Glen Cove, NY 11542
Phone (516) 759-0560

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

100 Port Washington Blvd
Ste G3
Roslyn, NY 11576
Phone (516) 627-4800

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

45 Terry Rd
Ste A
Smithtown, NY 11787
Phone (631) 265-4485

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FGIADD/Endpoint/FGIADD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1700105590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 VETERANS MEMORIAL HWY STE 2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254316",
            "telephone_number": "631-309-5222",
            "fax_number": "631-303-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 VETERANS MEMORIAL HWY STE 2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254316",
            "telephone_number": "631-309-5222",
            "fax_number": "631-303-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDNICK",
        "first_name": "TAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "270642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.