Ny Neurorecovery

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NY NEURORECOVERY

Practice address

726 Avenue Z
Brooklyn, NY 11223-6238

Phone

(718) 872-7373

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Andrew Ivanson, M.D.NPI 1437197928

Title

President

Phone

(646) 541-9779

Specialties & licenses 1

Addresses

Practitioners 1

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

• Andrew Ivanson, M.D.

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1437197928
  NPD (past) Authorized official

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760420723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4817 BEDFORD AVE",
            "address_2": "3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352783",
            "telephone_number": "718-646-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112236238",
            "telephone_number": "718-872-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY NEURORECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IVANSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-541-9779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ny Methodist Hospital
• Ny Methodist Hospital
• Ny Metro Healthcare Advisers, LLC
• Ny Metropolitan Care Management Agency
• Ny Neurocare Medical Services, PLLC
• Ny Ophthalmology and Medical Associates PLLC
• Ny Optix LLC
• Ny Oral and Maxillofacial Surgeon, PC
• Ny Oriental Acupuncture, PC
• Ny Pace Facility, Inc.

• Neurology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.