Neurorehabilitation and Neuropsycholical Services P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

012160-1 Issued in NY

Legal business name

NEUROREHABILITATION AND NEUROPSYCHOLICAL SERVICES P.C.

Practice address

1035 Park Blvd
Suite 2B
Massapequa Park, NY 11762-2743

Phone

(516) 799-8599

NPI assigned

Oct 7, 2009

Last updated

Oct 7, 2009By 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

Dr. Robert Alan Coben, PH. DNPI 1851305445

Title

Medical Director

Phone

(516) 799-8599

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Robert Alan Coben, PHD

  • Clinical Neuropsychologist
  • Massapequa Park, NY
  • NPI 1851305445
  NPD (past) Authorized official

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1891020947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 2B",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-799-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 2B",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-799-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROREHABILITATION AND NEUROPSYCHOLICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "COBEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-799-8599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "012160-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01733191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai Hospital
• Dawn Murray, PTA
• Tara Ann Nash, CCC-SLP
• Olivia Nelson, MSW
• Kostas Neoclis, SC.D.
• Hannah Jacqueline Nicchi, LMSW
• Northland Hearing Center, Inc. (GN Audiology)
• Meghan Rose O'Farrell, PT, DPT
• Jacqueline Ann O'Loughlin, MA, CCC-SLP
• Megan Marie Ockovic, LMHC-LP

• Clinical Neuropsychologist in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.