Neurological Group, PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

003463 Issued in CT

Legal business name

NEUROLOGICAL GROUP, PC

Practice address

350 Montauk Ave
New London, CT 06320-4730

Phone

(860) 443-1891

Fax

(860) 443-2980

NPI assigned

Nov 9, 2016

Last updated

Jan 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laurence I Radin, MDNPI 1508860156

Title

Presiden

Phone

(860) 443-1891

Specialties & licenses 1

Addresses

Tax ID family

Neurological Group PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Neurological Group, PC

  • Family Nurse Practitioner
  • New London, CT
  • NPI 1114120698
  NPD tax ID

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.

• Laurence I. Radin, MD

  • Neurology Physician
  • New London, CT
  • NPI 1508860156
  NPD (past) Authorized official

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1205378163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204730",
            "telephone_number": "860-443-1891",
            "fax_number": "860-443-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204730",
            "telephone_number": "860-443-1891",
            "fax_number": "860-443-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "RADIN",
        "authorized_official_first_name": "LAURENCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDEN",
        "authorized_official_telephone_number": "860-443-1891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Nelson
• Peggy Nelson, LADC
• Sean Elliott Nelson, MA
• Saul D Neuman, MD
• Neurological Group, PC
• Neurological Group, PC
• New England Orthotic & Prosthetic Systems, LLC
• New London Dental Care, LLC (New London Dental Care)
• New London Family Dentistry & Implants
• New London Family Practice, P.C.

• Adult Health Nurse Practitioner in New London, CT
• Providers in New London, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.