Great Neck Medical Associates, LLP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREAT NECK MEDICAL ASSOCIATES, LLP

Practice address

2800 Marcus Ave
Suite 200
Lake Success, NY 11042

Phone

(516) 608-6820

Fax

(516) 608-6822

NPI assigned

May 9, 2006

Last updated

Mar 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Kellman, MDNPI 1215936000

Title

Administrator

Phone

(516) 608-6820

Specialties & licenses 4

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott L Kellman, M.D.

  • Internal Medicine Physician
  • Lake Success, NY
  • NPI 1215936000
  Authorized official Same address or phone
• David J Berger, M.D.

  • Internal Medicine Physician
  • Lake Success, NY
  • NPI 1871591677
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1881643542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OHIO DR",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421111",
            "telephone_number": "516-608-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "address_2": "SUITE 200",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-608-6820",
            "fax_number": "516-608-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT NECK MEDICAL ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "KELLMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-608-6820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Global SLP OT PT & Psychological Services, PLLC
• Steven Perry Goldenberg, M.D.
• Clark R. Goldstein, PH.D.
• Henry Gomez, M.D.
• Adam K Gonzalez, RPA-C
• Adina Simone Green, DMD
• Deborah Gruber, MD
• Bin Gu
• Alyson Gutman, MD
• Brian Hainline, MD

• Internal Medicine Physician in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.