NPIMap

Organization Active NPI

Long Island Neuroscience Specialists LLP

  • Neurological Surgery Physician
  • E Patchogue, NY
National Provider Identifier
1184686222
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
LONG ISLAND NEUROSCIENCE SPECIALISTS LLP
Practice address
285 Sills Rd BLDG 5-6
E Patchogue, NY 11772-4869
Phone
(631) 475-5111
Fax
(631) 475-5544
NPI assigned
Apr 4, 2006
Last updated
Jun 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Lorraine Pierro
Title
Billing Administrator
Phone
(631) 475-5511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

285 Sills Rd BLDG 5-6
E Patchogue, NY 11772-4869

Mailing address

285 Sills Rd BLDG 5-6
E Patchogue, NY 11772-4869
Phone (631) 475-5111

Other practice location 1

1184 belle meade
east setauket, NY 11733-3455
Phone (631) 475-5511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000518 NY Part B Supplier - Clinic/Group Practice 8527022516 Receives reassigned benefits from 9 practitioners
Practice locations: E Patchogue, NY; Port Jefferson, NY

National Provider Directory

National Provider Directory

Locations

285 Sills Rd
Bldg 9A
East Patchogue, NY 11772
Phone (631) 475-0344

Practitioners & affiliated clinicians

Practitioners 10

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": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1184686222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 5-6",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-475-5111",
            "fax_number": "631-475-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 5-6",
            "city": "E PATCHOGUE",
            "state": "NY",
            "postal_code": "117724869",
            "telephone_number": "631-475-5111",
            "fax_number": "631-475-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1184 belle meade",
            "address_purpose": "LOCATION",
            "city": "east setauket",
            "state": "NY",
            "postal_code": "117333455",
            "country_code": "US",
            "telephone_number": "631-475-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND NEUROSCIENCE SPECIALISTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "PIERRO",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "631-475-5511"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.