Ny Neuro Diagnostics P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

1126761 Issued in NY

Legal business name

NY NEURO DIAGNOSTICS P.C.

Practice address

115 W Sunrise Hwy
Freeport, NY 11520-3612

Phone

(516) 546-9200

Fax

(516) 546-6466

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By 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

Frederic A Mendelsohn, M.D.

Title

President

Phone

(516) 546-9200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1225450885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SUNRISE HWY",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203612",
            "telephone_number": "516-546-9200",
            "fax_number": "516-546-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SUNRISE HWY",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203612",
            "telephone_number": "516-546-9200",
            "fax_number": "516-546-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY NEURO DIAGNOSTICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "MENDELSOHN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-546-9200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "1126761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North-Shore Lij
• Francesca Novielli, BSN, RN
• Nu-Care Systems, LTD.
• Bianca Tatjana Nunez, MSW
• Nurtured Health Wellness NP in Family Health PLLC
• Donald Jay Obers, LMSW
• Ocean Physicians PC
• Jennifer Oconnell, LMHC
• Desrene Ogilvie, L.M.S.60W.
• Adenike Okeowo

• Neurology Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.