New York Neuroscience Institute PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEW YORK NEUROSCIENCE INSTITUTE PC

Practice address

4256 Bronx Blvd Ste 5
Bronx, NY 10466-2672

Phone

(718) 655-9111

Fax

(718) 231-1522

NPI assigned

Aug 1, 2006

Last updated

Jul 21, 2022By 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

Kamran Tabaddor, MDNPI 1942216510

Title

Owner

Phone

(718) 655-9111

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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.

• Kamran Tabaddor, MD

  • Neurological Surgery Physician
  • White Plains, NY
  • NPI 1942216510
  Medicare reassignment Authorized official
• Ian Yeng Yang, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bronx, NY
  • NPI 1225146939
  NPD (past)
• Jose Antonio Torres Gluck, MD

  • Neurological Surgery Physician
  • Lakeland, FL
  • NPI 1215048517
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932115565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4256 BRONX BLVD STE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662672",
            "telephone_number": "718-655-9111",
            "fax_number": "718-231-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4256 BRONX BLVD STE 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662672",
            "telephone_number": "718-655-9111",
            "fax_number": "718-231-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEUROSCIENCE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TABADDOR",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-655-9111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01588641",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New York Gi Center LLC
• New York Healthcare & Wellness LLC
• New York Institute for Special Education
• New York Institute of Health and Behavior
• New York Institute of Health and Behavior
• New York Optical Group Inc (New York Optical Center)
• New York Pain Management Group, PLLC
• New York Physical and Occupational Therapy, PLLC
• New York Precision Pain Management
• New York Psychotherapy LCSW P.C.

• Neurological Surgery Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.