Organization Active NPI

DGS Neurological PLLC

  • Neurology Physician
  • Staten Island, NY
National Provider Identifier
1790095289
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
240518 Issued in NY
Legal business name
DGS NEUROLOGICAL PLLC
Practice address
4982 Hylan Blvd
Staten Island, NY 10312-6399
Phone
(877) 581-3390
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Danielle Geraldi-Samara, M.D.
Title
President
Phone
(877) 581-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 240518 NY Primary

Addresses

Primary practice location

4982 Hylan Blvd
Staten Island, NY 10312-6399

Mailing address

1705 86TH St
Brooklyn, NY 11214-2817
Phone (877) 581-3390

National Provider Directory

National Provider Directory

Locations

1705 86th St
Brooklyn, NY 11214

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1790095289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142817",
            "telephone_number": "877-581-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4982 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126399",
            "telephone_number": "877-581-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DGS NEUROLOGICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "GERALDI-SAMARA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-581-3390",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "240518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.