MEDICAL SERVICES OF KIPS BAY PC
NPI 1669075651
Psychiatry & Neurology - Neurology in Great Neck, NY

Q: What is Medical Services Of Kips Bay PC's NPI number?

The NPI number for Medical Services Of Kips Bay PC is 1669075651. It was assigned to this organization in the NPPES registry on November 20, 2020.

Q: What is Medical Services Of Kips Bay PC's specialty?

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

Active since November 20, 2020

170 GREAT NECK RD, GREAT NECK, NY 11021(516) 487-4464(516) 487-4980 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2022, Nov 11, 2021, Nov 20, 2020 (3 updates tracked since 2020).

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About Medical Services Of Kips Bay Pc NPPES

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

MEDICAL SERVICES OF KIPS BAY PC (NPI 1669075651) is a healthcare organization registered as a neurology in Great Neck, New York and active in the NPI registry since November 2020. The organization lists Michele L Cusack, Senior Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1669075651

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameMEDICAL SERVICES OF KIPS BAY PC

Location Address170 GREAT NECK RDGreat Neck, NY 11021-3357

Mailing Address325 E Main StPatchogue, NY 11772-3114 · (516) 358-8100 · Fax (631) 654-1474

Phone(516) 487-4464

Fax(516) 487-4980

Organization SubpartNo

Authorized OfficialMichele L CusackSenior Vice President & Cfo · (516) 321-6058

Enumeration DateNovember 20, 2020

Last NPPES UpdateOctober 6, 20223 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1669075651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

Also ListedPhysician AssistantTaxonomy 363A00000X

170 GREAT NECK RD, Great Neck, NY 11021

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Group Practice 2

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

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

REENA VARGHESE

Nurse Practitioner