Organization Active NPI

Frank R Maurio Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Babylon, NY
National Provider Identifier
1033408042
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
FRANK R MAURIO NEUROPSYCHOLOGY PLLC
Practice address
164 W Main St
Babylon, NY 11702-3411
Phone
(631) 669-6737
NPI assigned
Mar 30, 2011
Last updated
Mar 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank R MaurioNPI 1861415101
Title
Clinical Neuropsychologist
Phone
(631) 669-6737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X Primary

Addresses

Primary practice location

164 W Main St
Babylon, NY 11702-3411

Mailing address

164 W Main St
Babylon, NY 11702-3411
Phone (631) 669-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110330000657 NY Part B Supplier - Clinic/Group Practice 3173706033 Receives reassigned benefits from 1 practitioner
Practice locations: Babylon, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

206 E Main St
Ste 2
Babylon, NY 11702
Phone (631) 587-6272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1033408042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023411",
            "telephone_number": "631-669-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023411",
            "telephone_number": "631-669-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK R MAURIO NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "MAURIO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "631-669-6737"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.