Active NPI
New York University
Doing business as NYU Great Neck Medical
- Internal Medicine Physician
- Great Neck, NY
National Provider Identifier
1700107281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NEW YORK UNIVERSITY
- Doing business as
- NYU Great Neck Medical
- Practice address
- 488 Great Neck Rd
Suite 300
Great Neck, NY 11021-4315 - Phone
- (516) 482-6747
- Fax
- (516) 482-4851
- NPI assigned
- Jun 18, 2010
- Organization subpart
- Yes
- Parent organization
- NEW YORK UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew T Rubin
- Title
- Sr Ass Dean for Clinical Affairs
- Phone
- (212) 263-2824
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X |
Addresses
Primary practice location
488 Great Neck Rd
Suite 300
Great Neck, NY 11021-4315
Mailing address
488 Great Neck Rd
Suite 300
Great Neck, NY 11021-4315
Phone (516) 482-6747
Other names 1
- NYU Great Neck Medical
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0689178 | NYU Great Neck Medical | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Part of
- NYU Anesthesia Assoc
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Great Neck, NY
- NPI 1861484065
-
- Cardiovascular Disease Physician
- Great Neck, NY
- NPI 1164414330
-
- Cardiovascular Disease Physician
- Great Neck, NY
- NPI 1609868884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276819200000",
"number": "1700107281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 GREAT NECK RD",
"address_2": "SUITE 300",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214315",
"telephone_number": "516-482-6747",
"fax_number": "516-482-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 GREAT NECK RD",
"address_2": "SUITE 300",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110214315",
"telephone_number": "516-482-6747",
"fax_number": "516-482-4851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW YORK UNIVERSITY",
"enumeration_date": "2010-06-18",
"last_updated": "2010-06-18",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "SR ASS DEAN FOR CLINICAL AFFAIRS",
"authorized_official_telephone_number": "212-263-2824"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NYU Great Neck Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Neck, NY
- New York Neurology and Medical Services P.C (New York Neurology & Pain Medicine)
- New York Orthopedic and Spine
- New York Orthotic and Prosthetic
- New York Presbyterian Hospital
- New York Sport & Rehabilitation Medicine PC
- Joseph William Newirth, PH.D.
- Marisa Newman, OTR/L
- Patricia Jane Newmark-Carren, LCSW
- Concepta M Neylon-Lorick, MS.ED
- Fugen Neziroglu, PH.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.