1275524068 NPI number — NEIL S HAMMERMAN MD

Table of content: NEIL S HAMMERMAN MD (NPI 1275524068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275524068 NPI number — NEIL S HAMMERMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMMERMAN
Provider First Name:
NEIL
Provider Middle Name:
S
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275524068
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
176 N VILLAGE AVE
Provider Second Line Business Mailing Address:
SUITE 1A
Provider Business Mailing Address City Name:
ROCKVILLE CENTRE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11570-3800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-678-0303
Provider Business Mailing Address Fax Number:
516-678-0445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
176 N VILLAGE AVE
Provider Second Line Business Practice Location Address:
SUITE 1A
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570-3800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-678-0303
Provider Business Practice Location Address Fax Number:
516-678-0445
Provider Enumeration Date:
11/02/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Y00000X , with the licence number:  1395711 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 113005592 . This is a "TRI 7051" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0176650001 . This is a "DMERC HEALTH NOW" identifier . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 5011" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 5059" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 5040" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 5047" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 5077" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 544137 . This is a "UNITE30555 UNITED HEALTHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 98A131 . This is a "MDCR SECONDARY" identifier . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 5012" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 40006943 . This is a "MDCR RRRB RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 544137 . This is a "UNITE 1600 UNTD HEALTHCAR" identifier . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 1407" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 3877" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00830699 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 544137 . This is a "UHC UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 544137 . This is a "UNIT740800 UNTD HEALTHCAR" identifier . This identifiers is of the category "OTHER".
  • Identifier: NH098A1310 . This is a "BCBS 3876" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com