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Export Provider Record NPI 1063677656
Susan Laela AlkasabMD
Active
NPI Number1063677656
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1063677656
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-07-23
Last Updated2008-07-23
Mailing Address300 Community Dr, Department Ob/gyn 4 Levitt
Manhasset, NY 11030-3816
United States
Phone: (516) 562-4435
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Primary Practice Address825 Northern Blvd, Suite 301
Great Neck, NY 11021-5323
United States
Phone: (516) 472-5700
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & GynecologyNY249569
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About NPI 1063677656

Susan Laela Alkasab MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063677656. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Great Neck, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-07-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063677656?

NPI 1063677656 belongs to Susan Laela Alkasab MD, a Obstetrics & Gynecology in Great Neck, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063677656 active?

The current status of NPI 1063677656 in the NPPES registry is Active. The record was last updated on 2008-07-23.

What specialty is NPI 1063677656?

NPI 1063677656 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063677656?

You can verify NPI 1063677656 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063677656?

The primary practice address on file for NPI 1063677656 is 825 Northern Blvd, Great Neck, NY 11021-5323. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063677656 issued?

NPI 1063677656 was first issued (enumerated) on 2008-07-23. The NPPES record was last updated on 2008-07-23.

Practice Location Map

Susan Laela Alkasab is located at 825 Northern Blvd, Great Neck, NY. Use the map below to find directions or verify the practice location.

📍 825 Northern Blvd, Great Neck, NY 11021-5323  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Susan Laela Alkasab. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063677656. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & Gynecology249569NY
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162