NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC
NPI 1629013495
Psychiatry & Neurology - Neurology in Lake Success, NY

Active since June 17, 2006CLIA 33D2152870 · Waiver
1991 MARCUS AVENUE, SUITE 110, LAKE SUCCESS, NY 11042(516) 466-4700(516) 466-4810 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neurological Associates Of Long Island, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC (NPI 1629013495) is a healthcare organization registered as a neurology in Lake Success, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Erika L Koretz, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1629013495
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNEUROLOGICAL ASSOCIATES OF LONG ISLAND, PC
Location Address1991 MARCUS AVENUE, SUITE 110Lake Success, NY 11042-2057
Mailing Address1991 Marcus Avenue, Suite 110Lake Success, NY 11042-2057 · (516) 466-4700 · Fax (516) 466-4810
Fax(516) 466-4810
Organization SubpartNo
Authorized OfficialErika L KoretzOffice Administrator · (516) 466-4700
Enumeration DateJune 17, 2006
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1629013495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X
1991 MARCUS AVENUE, Lake Success, NY 11042

Other Identifiers 1

Other41996NY · Aetna Ins

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2152870

Neurological Associates Of Long Island PC · Lake Success, NY
Active · expires Aug 16, 2026
CLIA Number33D2152870
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorDr. David Podwall
Laboratory Phone(516) 466-4700
Laboratory LocationNeurological Associates Of Long Island PC1991 Marcus Avenue - Ste 110, Lake Success, NY 11042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Pediatrics (Pediatric Endocrinology)
1991 MARCUS AVENUE, SUITE M100
NEW HYDE PARK, NY 11042
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Neurological Surgery
1991 MARCUS AVENUE, LAKE SUCCESS
NEW YORK, NY 11042
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Psychiatry & Neurology (Neurology)
1991 MARCUS AVENUE, SUITE 110
LAKE SUCCESS, NY 11042
Social Worker
1991 MARCUS AVENUE
LAKE SUCCESS, NY 11042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurological Associates Of Long Island, PC's NPI number?

The NPI number for Neurological Associates Of Long Island, PC is 1629013495. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Neurological Associates Of Long Island, PC located?

Neurological Associates Of Long Island, PC is located at 1991 Marcus Avenue Suite 110, Lake Success, NY 11042. The listed phone number is (516) 466-4700.

What is Neurological Associates Of Long Island, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Does Neurological Associates Of Long Island, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2152870) is associated with this NPI, valid through August 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Neurological Associates Of Long Island, PC was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.