Healthcare Provider Details

I. General information

NPI: 1700771730
Provider Name (Legal Business Name): NEUROCRITICAL CARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 SCHOLES ST APT 4B ATTN B. DANE OR I. KESHET
BROOKLYN NY
11206-1847
US

IV. Provider business mailing address

1900 SUPERIOR AVE STE 327
CLEVELAND OH
44114-2148
US

V. Phone/Fax

Practice location:
  • Phone: 347-234-5116
  • Fax: 440-970-1614
Mailing address:
  • Phone: 347-234-5116
  • Fax: 440-970-1646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QC1800X
TaxonomyCorporate Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: DR. ITAY KESHET
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 347-286-8169