OrganizationActive
Great Neck Medicine PC
NPI 1942631270 · Specialist · Great Neck, NY
Provider details
- NPI number
- 1942631270
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Russell Surasky, President(516) 487-1902
- License
- 260969 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
290 Community Dr
Great Neck, NY 11021-5504
Phone: (516) 487-1902
Fax: (516) 487-4156
Approximate (ZIP-level) locationGet directions
Mailing address
290 Community Dr
Great Neck, NY 11021-5504
Registry dates
- Enumerated
- 2013-12-12
- Last updated
- 2013-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.