Neil I. Brody M.D. PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

117211 Issued in NY

Legal business name

NEIL I. BRODY M.D. PC

Practice address

1350 Northern Blvd
Manhasset, NY 11030-3013

Phone

(516) 365-5652

Fax

(516) 365-4550

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Neil Irwin Brody

Title

Physician

Phone

(516) 365-5652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1821262908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 NORTHERN BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303013",
            "telephone_number": "516-365-5652",
            "fax_number": "516-365-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NORTHERN BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303013",
            "telephone_number": "516-365-5652",
            "fax_number": "516-365-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL I. BRODY M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "IRWIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-365-5652",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "117211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.