GREAT NECK MEDICINE PC
NPI 1942631270
Specialist in Great Neck, NY

Active since December 12, 2013
290 COMMUNITY DR, GREAT NECK, NY 11021(516) 487-1902(516) 487-4156 Get Directions Write a Review

NPPES record last updated: December 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Neck Medicine Pc NPPES

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

GREAT NECK MEDICINE PC (NPI 1942631270) is a healthcare organization registered as a specialist in Great Neck, New York and active in the NPI registry since December 2013. The organization lists Russell Surasky, President, as its authorized official.

NPPES Registry Identity

NPI1942631270
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGREAT NECK MEDICINE PC
Location Address290 COMMUNITY DRGreat Neck, NY 11021-5504
Mailing Address290 Community DrGreat Neck, NY 11021-5504
Fax(516) 487-4156
Organization SubpartNo
Authorized OfficialRussell SuraskyPresident · (516) 487-1902
Enumeration DateDecember 12, 2013
NPI 1942631270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 260969
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
290 COMMUNITY DR, Great Neck, NY 11021

Group Practice 1

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

Other Providers at the Same Location NPPES 9

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

Internal Medicine
290 COMMUNITY DR
GREAT NECK, NY 11021
Podiatrist (Foot & Ankle Surgery)
290 COMMUNITY DR
GREAT NECK, NY 11021
Clinic/Center
290 COMMUNITY DR
GREAT NECK, NY 11021
Physical Therapist
290 COMMUNITY DR
GREAT NECK, NY 11021
Legal Medicine
290 COMMUNITY DR
GREAT NECK, NY 11021
Physical Therapist (Pediatrics)
290 COMMUNITY DR
GREAT NECK, NY 11021
Clinic/Center (Health Service)
290 COMMUNITY DR
GREAT NECK, NY 11021
Anesthesiology
290 COMMUNITY DR
GREAT NECK, NY 11021

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 Great Neck Medicine PC's NPI number?

The NPI number for Great Neck Medicine PC is 1942631270. It was assigned to this organization in the NPPES registry on December 12, 2013.

Where is Great Neck Medicine PC located?

Great Neck Medicine PC is located at 290 Community Dr, Great Neck, NY 11021. The listed phone number is (516) 487-1902.

What is Great Neck Medicine PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Great Neck Medicine PC was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.