DR. JOHN L KEFALOS (NPI# 1619968161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619968161 |
| Entity Type | Individual |
| Full Name | DR. JOHN L KEFALOS |
| Credential | M.D. |
| Practice Address |
777 Sunrise Hwy Suite 200 Lynbrook NY 11563-2950 |
| Practice Telephone | 5168873516 |
| Practice Fax Number | 5168870331 |
| Mailing Telephone | 5168873516 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
152638 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | SELECT PRO | NS0001847 | 01 |
| NY | PHCS | 68866 | 01 |
| NY | CCN,CHO\HUM,FRSTHELTH,HOR | 112573413 | 01 |
| NY | CIGNA | 1917532005 | 01 |
| NY | WORKERS COMP NO FAULT | CPNN1526383 | 01 |
| NY | MDNY | AD00676 | 01 |
| NY | GHI | 3099813 | 01 |
| NY | MULTIPLAN | 62259790 | 01 |
| NY | 01572861 | 05 | |
| NY | HIP | 152638 | 01 |
| NY | VYTRA | 613 | 01 |
| NY | HEALTHCARE PARTNERS | 640026 | 01 |
| NY | HEALTHNET | OC3470 | 01 |
| NY | GHI HMO | 000000056378 | 01 |
| NY | MAG,OHP,UHC,EMPIRE | 112573413 | 01 |
| NY | OXFORD | AS1069 | 01 |
| Street Address |
777 SUNRISE HWY SUITE 200 |
| City | LYNBROOK |
| State | NY |
| Zip Code | 11563-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750372702 | Lewis A Levy | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2005-10-31 |
| 1659795011 | Svetlana Musheyeva | Physician Assistant | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2014-02-05 |
| 1669759841 | Asha Mathews | Physician Assistant | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2011-11-15 |
| 1346525011 | Lauren P Wegge | Physician Assistant | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2011-10-13 |
| 1396978557 | Adam Lichtenstein | Physician Assistant | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2009-09-03 |
| 1801075239 | Stephen Jason Roth | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2007-11-01 |
| 1467658500 | Kristin M Waldron | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2007-06-25 |
| 1467438622 | Long Island Neurology Consultants | Physical Medicine & Rehabilitation | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563 | 2005-12-20 |
| 1639155096 | Eric J. Hanauer | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2005-12-19 |
| 1659357028 | Lorraine Farucci | Nurse Practitioner | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2005-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396392072 | Anisha O Jenkins | Social Worker | 33 Allen Street, Lynbrook, NY 11563 | 2019-08-19 |
| 1093377327 | Ivan Karl Levenson | Occupational Therapist | Sunrise of Lynbrook, 53 Frankling Ave, N Lynbrook, NY 11563 | 2019-07-08 |
| 1124583125 | Maria Theresa Fasano | Speech-Language Pathologist | 111 Atlantic Avenue Lynbrook School District, Lynbrook, NY 11563 | 2019-02-04 |
| 1720561509 | Marianne Muldoon | Social Worker | 326 Vincent Avenue, Lynbrook, NY 11563 | 2018-09-08 |
| 1134659972 | Jaclyn Gonsch | Specialist | 136 Stuart Street, Lynbrook, NY 11563 | 2017-06-14 |
| 1497294797 | Ryan James Doupe | Counselor | 42 Fowler Ave, Lynbrook, NY 11563 | 2017-02-20 |
| 1902261647 | Allegra Grace D'alo | Social Worker | 90 Driving Park Ave, Lynbrook, NY 11563 | 2015-12-23 |
| 1699106039 | Elizabeth Gaudet Physical Therapy, P.l.l.c. | Physical Therapist | 34 Whittier Street, Lynbrook, NY 11563 | 2013-12-11 |
| 1427496439 | Jennifer Breen | Psychologist | 303 Merrick Rd Ste 302, Lynbrook, NY 11563 | 2013-06-12 |
| 1588000640 | Kelly Patrice Gallagher | Speech-Language Pathologist | 40-20 235th St, Douglaston, NY 11563 | 2013-05-16 |
| Find all providers in zip 11563 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750372702 | Lewis A Levy | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2005-10-31 |
| 1801075239 | Stephen Jason Roth | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2007-11-01 |
| 1316134927 | Neurology and Pain Treatment PC | Psychiatry & Neurology | 232 Merrick Rd, Lynbrook, NY 11563-2623 | 2007-09-27 |
| 1467658500 | Kristin M Waldron | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2007-06-25 |
| 1639155096 | Eric J. Hanauer | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2005-12-19 |
| 1922084409 | Mark A Nelson | Psychiatry & Neurology | 777 Sunrise Hwy, Suite 200, Lynbrook, NY 11563-2950 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.