DR. FRED A LADO (NPI# 1346325644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346325644 |
| Entity Type | Individual |
| Full Name | DR. FRED A LADO |
| Credential | MD |
| Practice Address |
611 Northern Blvd Ste 150 Great Neck NY 11021-5207 |
| Mailing Address |
215 W 92nd St Apt 7j New York NY 10025-7444 |
| Practice Telephone | 5163257000 |
| Practice Fax Number | 5163257001 |
| Mailing Telephone | 9176081881 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
196511 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
196511 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AFFINITY HEALTH PIN | 10000021415 | 01 |
| NY | BLUE SHIELD PIN | 439N91 | 01 |
| NY | HEALTHNET-PHS PIN | N65876 | 01 |
| NY | OXFORD PIN | P2456425 | 01 |
| NY | 02276882 | 05 | |
| NY | MONTE CMO | 30200 | 01 |
| NY | NYS LICENSE | 196511 | 01 |
| NY | CIGNA PIN | 0099245 | 01 |
| NY | MMC TAX ID | 13-1740114 | 01 |
| NY | US HEALTH - AETNA PIN | 2530734 | 01 |
| NY | HEALTH FIRST PIN | 196511-A14 | 01 |
| NY | OXFORD PIN | P2852741 | 01 |
| NY | DEA ID | BL4650935 | 01 |
| Street Address |
611 NORTHERN BLVD STE 150 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871511238 | Anthony Paul Geraci | Psychiatry & Neurology | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2006-07-17 |
| 1134618085 | Alicia Dee | Nurse Practitioner | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2018-05-07 |
| 1023493020 | Amanda Persaud | Psychiatry & Neurology | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2015-07-21 |
| 1194160457 | Neeraj Singh | Psychiatry & Neurology | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2013-04-30 |
| 1881969905 | Stephan Bickel | Psychiatry & Neurology | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2012-03-22 |
| 1831484740 | Simona Vasilica Proteasa | Psychiatry & Neurology | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2011-06-20 |
| 1417191750 | David Weintraub | Neurological Surgery | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2009-04-30 |
| 1326202722 | Chetan Malpe | Psychiatry & Neurology | 611 Northern Blvd Ste 150, Great Neck, NY 11021-5207 | 2008-07-15 |
| 1578723854 | Mariel Deutsch | Psychiatry & Neurology | 611 Northern Blvd Ste 150, Great Neck, NY 11021 | 2008-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075767 | Itzhak C Haimovic | Psychiatry & Neurology | 170 Great Neck Road, Great Neck, NY 11021 | 2005-07-05 |
| 1306803036 | Robert Anthony Dimino | Psychiatry & Neurology | 175 Community Dr, Great Neck, NY 11021-5502 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548739006 | Intraoperative Neurology Services PC | Psychiatry & Neurology | 4 Legends Cir, Melville, NY 11747-5302 | 2018-11-14 |
| 1457760977 | Luis Grodnitzky | Psychiatry & Neurology | 300 E 54th St Apt 4j, New York, NY 10022-5019 | 2014-08-08 |
| 1346661808 | Comprehensive Diagnostics and Imaging PC | Psychiatry & Neurology | 200 East 36 Street, 11c, New York, NY 10016 | 2013-12-30 |
| 1952601668 | Ideal Idtf Services of New York, Inc. | Psychiatry & Neurology | 4394 Broadway, New York, NY 10040-4002 | 2010-10-27 |
| 1922261486 | Amit Khaneja | Psychiatry & Neurology | 1155 Warburton Ave Apt 1u, Yonkers, NY 10701-1075 | 2008-07-05 |
| 1538331749 | Autonomic Neurology, Pllc | Psychiatry & Neurology | 2 Charlton St, 15b, New York, NY 10014-4909 | 2008-03-27 |
| 1215967633 | Robert Alan Gold | Psychiatry & Neurology | Pilgrim Psychiatric Center, 998 Crooked Hill Road, West Brentwood, NY 11717 | 2006-07-03 |
| 1831151281 | Alcibiades J. Rodriguez | Psychiatry & Neurology | 724 2nd Ave, New York, NY 10016-2710 | 2006-04-03 |
| 1992703391 | Andrei Carasca | Psychiatry & Neurology | 875 5th Ave, New York, NY 10065-4952 | 2005-07-08 |
| 1154977320 | Tenn Professional Reading PC | Psychiatry & Neurology | 4 Legends Cir, Melville, NY 11747-5302 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
Please comment or provide details below to improve the information on DR. FRED A LADO.
| 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.