Active NPI
Great Neck Neurological Surgery, P.C.
- Specialist
- Great Neck, NY
National Provider Identifier
1942394473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- GREAT NECK NEUROLOGICAL SURGERY, P.C.
- Practice address
- 600 Northern Boulevard
Suite 117
Great Neck, NY 11021 - Phone
- (516) 478-0005
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Zorina R Thomas-Jackson, CPC
- Title
- Billing/Claims Manager
- Phone
- (516) 255-6228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
600 Northern Boulevard
Suite 117
Great Neck, NY 11021
Mailing address
600 Northern Boulevard
Suite 117
Great Neck, NY 11021
Phone (516) 478-0005
Other names 1
- Great Neck Stand Up Mri
National Provider Directory
National Provider DirectoryLocations
600 Northern Blvd
Ste 117
Great Neck, NY 11021
Phone (516) 442-3461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942394473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NORTHERN BOULEVARD",
"address_2": "SUITE 117",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-478-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NORTHERN BOULEVARD",
"address_2": "SUITE 117",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "11021",
"telephone_number": "516-478-0005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT NECK NEUROLOGICAL SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THOMAS-JACKSON",
"authorized_official_first_name": "ZORINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BILLING/CLAIMS MANAGER",
"authorized_official_telephone_number": "516-255-6228",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Great Neck Stand Up Mri",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.