Organization Active NPI

MMC Neurosurgery

  • Neurological Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1952420945
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MMC NEUROSURGERY
Practice address
948 48TH St
2ND FL
Brooklyn, NY 11219-2918
Phone
(631) 979-4400
NPI assigned
Mar 28, 2007
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Simone Betchen, MD
Title
MD
Phone
(631) 979-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

948 48TH St
2ND FL
Brooklyn, NY 11219-2918

Mailing address

PO Box 27371
New York, NY 10081-0001

National Provider Directory

National Provider Directory
Tax ID family
Maimonides Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

948 48th St
Ste 228
Brooklyn, NY 11219

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1952420945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27371",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100810001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 48TH ST",
            "address_2": "2ND FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192918",
            "telephone_number": "631-979-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "BETCHEN",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-979-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.