Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shaun David Rodgers, MD

Individual provider Neurological Surgery Physician · NPI 1003012568

Dr. Shaun David Rodgers, MD is a Neurosurgery in New Hyde Park, New York. Graduated from Georgetown University School of Medicine in 2007, 19 years ago. Practices with Long Island Neurosurgical Associates PC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
19
Trained at
Georgetown University School of Medicine
Licensed in
IL, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

410 Lakeville Rd Ste 204
New Hyde Park, NY 11042-1101
Phone: (516) 354-3401
Fax: (516) 354-8597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 257509 (NY)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 036134910 (IL)

Record details

NPI number1003012568
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESSeptember 9, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Long Island Neurosurgical Associates Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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