Organization Active NPI

Slrhc Faculty Practice

  • Neurology Physician
  • New York, NY
National Provider Identifier
1861652927
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SLRHC FACULTY PRACTICE
Practice address
425 W 59TH St
Brodsky Suite 6a
New York, NY 10019-1104
Phone
(212) 523-7621
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Deborah Hackett, MD
Title
VP
Phone
(212) 256-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

425 W 59TH St
Brodsky Suite 6a
New York, NY 10019-1104

Mailing address

425 W 59TH St
Brodsky Suite 6a
New York, NY 10019-1104
Phone (212) 523-7621

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1861652927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W 59TH ST",
            "address_2": "BRODSKY SUITE 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191104",
            "telephone_number": "212-523-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 59TH ST",
            "address_2": "BRODSKY SUITE 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191104",
            "telephone_number": "212-523-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLRHC FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "212-256-3424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.