Organization Active NPI

Great Neck Neurological Surgery, P.C.

  • Specialist
  • Great Neck, NY
National Provider Identifier
1942394473
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.