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: October 18, 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, 2028 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neurological Associates Of Long Island, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Neurological Associates Of Long Island, PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Neurology9
Physical Therapist in Private Practice3
Diagnostic Radiology2

Clinicians, nearest first (14)

Physical Therapist in Private Practice
NPI 1689611444
1991 MARCUS AVE STE 110
New Hyde Park, NY 11042
(516) 466-4700
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1891741401
1991 MARCUS AVENUE SUITE 110
Lake Success, NY 11042
(516) 466-4700
✔ Accepts MedicareSame address
Neurology
NPI 1396995916
1991 MARCUS AVE SUITE 110
New Hyde Park, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1093972929
1991 MARCUS AVE STE 110
New Hyde Park, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1346489689
1991 MARCUS AVE SUITE 110
New Hyde Park, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1124072418
1991 MARCUS AVENUE SUITE 110
Lake Success, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1386026060
1991 MARCUS AVE STE 110
New Hyde Park, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1548247125
1991 MARCUS AVENUE SUITE 110
Lake Success, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1437199668
1991 MARCUS AVENUE SUITE 110
Lake Success, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1326025909
1991 MARCUS AVENUE SUITE 110
Lake Success, NY 11042
(516) 466-4700
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1407892250
227 FRANKLIN AVE
Hewlett, NY 11557
(516) 295-5500
✔ PECOS✔ Accepts Medicare8.1 mi
Physical Therapist in Private Practice
NPI 1659568194
11203 LIBERTY AVE
South Richmond Hill, NY 11419
(718) 641-1212
✔ Accepts Medicare8.7 mi
Neurology
NPI 1164463808
5 E 98TH ST BOX 1138
New York, NY 10029
(212) 241-6854
✔ PECOS✔ Accepts Medicare14 mi
Diagnostic Radiology
NPI 1518924737
25700 SCIENCE PARK DR STE 180
Beachwood, OH 44122
(216) 514-1199
✔ PECOS✔ Accepts Medicare410 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028
CLIA Number33D2152870
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2026
Certificate Expiration DateAugust 16, 2028
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.

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.

Is Neurological Associates Of Long Island, PC enrolled in Medicare?

Yes. Neurological Associates Of Long Island, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurological Associates Of Long Island, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Neurological Associates Of Long Island, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (9), Physical Therapist in Private Practice (3) and Diagnostic Radiology (2). Of these, 10 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028. 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.