OrganizationActive
Adult and Child Neurology PC
NPI 1982261194 · Neurology with Special Qualifications in Child Neurology Physician · Astoria, NY
Provider details
- NPI number
- 1982261194
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maja Ilic, Medical Director(914) 358-1162
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3613 30th Ave
Astoria, NY 11103-4329
Phone: (800) 200-8196
Fax: (914) 368-8343
Street-level locationGet directions
Mailing address
21 Kingston Rd
Scarsdale, NY 10583-1147
Additional practice locations (1)
- 385 Fort Washington AveNew York, NY 10033-6740Phone: (800) 200-8196Fax: (914) 368-8343
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2023-09-01
- Certified
- 2023-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.