Nassau Spine Technical LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

NASSAU SPINE TECHNICAL LLC

Practice address

2594 8TH Ave
East Meadow, NY 11554-3253

Phone

(516) 743-9450

Fax

(516) 743-9451

NPI assigned

Jun 24, 2019

Last updated

Dec 17, 2019By 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

Ms. Ariel Leach

Title

Biller

Phone

(516) 743-9450

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Tax ID family

Nassau Spine Technical LLC2 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.

• Nassau Spine Intraop Monitoring Medical

  • Electroneurodiagnostic Specialist/Technologist
  • Valley Stream, NY
  • NPI 1659918316
  NPD tax ID

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1235790015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 8TH AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543253",
            "telephone_number": "516-743-9450",
            "fax_number": "516-743-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 8TH AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543253",
            "telephone_number": "516-743-9450",
            "fax_number": "516-743-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU SPINE TECHNICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "516-743-9450",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03918421",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "endpointDescription": "AdvancedMD",
            "address_1": "30 Merrick Ave Ste 103",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115541580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "endpointDescription": "AdvancedMD",
            "address_1": "30 Merrick Ave Ste 103",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115541580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AdvancedMD",
            "affiliation": "N",
            "endpointDescription": "AdvancedMD",
            "address_1": "30 Merrick Ave Ste 103",
            "city": "East Meadow",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115541580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Nassau Health Care Corporation
• Nassau Health Care Corporation
• Nassau Health Care Foundation Inc
• Nassau Suffolk Psychiatry PC
• Nassau University Medical Center
• Nassau University Medical Center
• Nassau University Medical Center
• Nassau University Medical Center

• Electroneurodiagnostic Specialist/Technologist in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Electroneurodiagnostic Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.