Individual provider Active NPI

Henry Pek, M.D.

  • Diagnostic Radiology Physician
  • Great Neck, NY
National Provider Identifier
1861454142
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
128720-1 Issued in NY
Practice address
935 Northern Blvd
Suite 200
Great Neck, NY 11021-5309
Phone
(516) 829-4414
Fax
(516) 829-7754
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 128720-1 NY Primary
Diagnostic Ultrasound Physician 2085U0001X 128720-1 NY

Addresses

Primary practice location

935 Northern Blvd
Suite 200
Great Neck, NY 11021-5309

Mailing address

935 Northern Blvd
Suite 200
Great Neck, NY 11021-5309
Phone (516) 829-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128720-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Southside Faculty Medical Affiliates University Faculty Practice Corp CurrentSince Oct 1, 2023 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 1, 2012 Accepting new patients
Franklin Physician Services Past Accepting new patients
North Shore Radiology at Glen Cove PC PastSince Sep 1, 2010 Accepting new patients
Franklin Hospital Past Accepting new patients
Franklin Hospital Radiology Diagnostic Radiology Past Accepting new patients
Great Neck Radiologists, PC Diagnostic Radiology PastSince Apr 1, 1982 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

711 Stewart Ave
Ste 114
Garden City, NY 11530
Phone (516) 227-3254

907 Northern Blvd
Great Neck, NY 11021
Phone (516) 288-3074

935 Northern Blvd
Ste 200
Great Neck, NY 11021
Phone (516) 829-4414

935 Northern Blvd
Great Neck, NY 11021
Phone (516) 487-4408

611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000

900 Northern Blvd
Ste 110
Great Neck, NY 11021
Phone (516) 481-6700

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

27005 76th Ave
North New Hyde Pk, NY 11040

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100

300 Community Dr
Plandome, NY 11030

9525 Queens Blvd
Frnt 2
Rego Park, NY 11374
Phone (718) 360-5522

1220 Hicksville Rd
Seaford, NY 11783

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1861454142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215309",
            "telephone_number": "516-829-4414",
            "fax_number": "516-829-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 NORTHERN BLVD",
            "address_2": "SUITE 200",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215309",
            "telephone_number": "516-829-4414",
            "fax_number": "516-829-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEK",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "128720-1",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NY",
            "license": "128720-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.